Organization · NPI-2

Feliz Family Care, PLLC

Family Medicine · Glendale, AZ

NPI number1184497778

StatusActive

Last updated in NPPESJan 21, 2024

Details

NPI: 1184497778
Entity type: Organization (NPI-2)
Legal business name: Feliz Family Care, PLLC
Organization subpart: Yes
Enumeration date: Nov 6, 2023
Certification date: Jan 21, 2024
Last updated: Jan 21, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207Y00000X	Otolaryngology	–	–
363A00000X	Physician Assistant	–	–
363LF0000X	Nurse Practitioner, Family	–	–

Other names

Feliz Care Centers PLLC (Former Legal Business Name)

Practice location

5104 N 67th Ave
Glendale, AZ 85301-6541

Phone 602-773-1234

Mailing address

1345 E Main St Ste 100
Mesa, AZ 85203-8950

Phone 480-264-3711

Authorized official

Roman Carrasco
Director
4804047158

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