FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC
NPI 1629670369
Family Medicine in Fleming Island, FL

Q: What is Family Care Partners Of Northeast Florida LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 09, 2020CLIA 10D1054116 · Waiver

4565 US HIGHWAY 17 STE 106, FLEMING ISLAND, FL 32003(904) 269-4559(904) 269-4597 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2025, Nov 20, 2024, Jul 12, 2023 and 1 more (4 updates tracked since 2020).

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About Family Care Partners Of Northeast Florida Llc NPPES

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

FAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC (NPI 1629670369) is a healthcare organization registered as a family medicine in Fleming Island, Florida and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists David Brown, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629670369

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY CARE PARTNERS OF NORTHEAST FLORIDA LLC

Location Address4565 US HIGHWAY 17 STE 106Fleming Island, FL 32003-4822

Mailing Address425 W Colonial Dr Ste 303Orlando, FL 32804-6863 · (904) 745-3618 · Fax (904) 722-4271

Phone(904) 269-4559

Fax(904) 269-4597

Organization SubpartYesParent: Family Care Partners Of Northeast Florida, Llc

Authorized OfficialDavid BrownCfo · (833) 702-8383

Enumeration DateNovember 9, 2020

Last NPPES UpdateJanuary 3, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2025

✔ NPI 1629670369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4565 US HIGHWAY 17 STE 106, Fleming Island, FL 32003

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1054116

Family Care Partners Of Northeast Florida, LLC · Jacksonville, FL

Active · expires May 11, 2028

CLIA Number10D1054116

Laboratory TypePhysician Office

Certificate Effective DateMay 12, 2026

Certificate Expiration DateMay 11, 2028

Laboratory DirectorJonathan Gonzalez

Laboratory Phone(904) 269-4559

Laboratory LocationFamily Care Partners Of Northeast Florida, LLC4565 Us Hwy 17 Suite 106, Jacksonville, FL 32003

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

DR. ALI REZA AFSHAR M.D.

Family Medicine