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FAMILY PRACTICE,DR.ASSEFA LLC
NPI 1083913842
Clinic/Center - Primary Care in Palatka, FL

Active since March 19, 2011
6100 SAINT JOHNS AVE STE 4, PALATKA, FL 32177(386) 329-3939(386) 329-8990 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Practice,dr.assefa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY PRACTICE,DR.ASSEFA LLC (NPI 1083913842) is a healthcare organization registered as a primary care in Palatka, Florida and active in the NPI registry since March 2011. The organization lists Irena Maria Assefa, Manager, as its authorized official.

NPPES Registry Identity

NPI1083913842
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAMILY PRACTICE,DR.ASSEFA LLC
Location Address6100 SAINT JOHNS AVE STE 4Palatka, FL 32177-6859
Mailing AddressPo Box 2627Palatka, FL 32178-2627 · (386) 329-3939 · Fax (386) 329-8990
Phone(386) 329-3939
Fax(386) 329-8990
Organization SubpartNo
Authorized OfficialIrena Maria AssefaManager · (386) 329-3939
Enumeration DateMarch 19, 2011
Last NPPES UpdateJune 26, 2012
✔ NPI 1083913842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME67444
6100 SAINT JOHNS AVE STE 4, Palatka, FL 32177
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Other Identifiers 1

Medicare UPINF91810FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE MELISSA HARRIS APRN
Nurse Practitioner
6100 SAINT JOHNS AVE STE 4
PALATKA, FL 32177
Putnam County (904) 223-3321
TAYLOR BRAY DELARM FNP-C
Nurse Practitioner (Family)
6100 SAINT JOHNS AVE STE 4
PALATKA, FL 32177
Putnam County (904) 223-3321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Practice,dr.Assefa LLC's NPI number?

The NPI number for Family Practice,dr.Assefa LLC is 1083913842. It was assigned to this organization in the NPPES registry on March 19, 2011.

Where is Family Practice,dr.Assefa LLC located?

Family Practice,dr.Assefa LLC is located at 6100 Saint Johns Ave Ste 4, Palatka, FL 32177. The listed phone number is (386) 329-3939.

What is Family Practice,dr.Assefa LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Family Practice,dr.Assefa LLC was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.