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MISSION FAMILY MEDICINE LLC
NPI 1699447086
Family Medicine in Titusville, FL

Active since October 04, 2021CLIA 10D1102278 · Waiver
1785 GARDEN ST, TITUSVILLE, FL 32796(321) 269-9612(321) 269-8433 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mission Family Medicine Llc NPPES

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

MISSION FAMILY MEDICINE LLC (NPI 1699447086) is a healthcare organization registered as a family medicine in Titusville, Florida and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Katie Fontaine, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699447086
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISSION FAMILY MEDICINE LLC
Location Address1785 GARDEN STTitusville, FL 32796-3221
Mailing Address1785 Garden StTitusville, FL 32796-3221 · (321) 269-9612 · Fax (321) 269-8433
Phone(321) 269-9612
Fax(321) 269-8433
Organization SubpartNo
Authorized OfficialKatie FontaineAdministrator · (321) 269-9612
Enumeration DateOctober 4, 2021
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1699447086 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.
1785 GARDEN ST, Titusville, FL 32796
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Other Names 1

Doing Business AsMission Family Medicine Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 10D1102278

Mission Family Medicine LLC · Titusville, FL
Active · expires Jul 14, 2027
CLIA Number10D1102278
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorBenjamin G. Marshall
Laboratory Phone(321) 269-9612
Laboratory LocationMission Family Medicine LLC1785 Garden Street, Titusville, FL 32796
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. MIRANDA B MARSHALL M.D.
Family Medicine
1785 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-9612
KYLIE WOODHOUSE APRN
Nurse Practitioner (Family)
1785 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-9612
HEALTHNET OF CENTRAL FLORIDA PA
Internal Medicine
1785 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 264-1000
MARK SCHUMAN STOREY M.D.
Internal Medicine
1785 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-9612
BENJAMIN GRANT MARSHALL M.D.
Family Medicine
1785 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-9612
RENEE LOK-YEE WONG SOUCIER MD
Family Medicine
1785 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-9612
MCKAYLA MICHAUD PA-C
Family Medicine
1785 GARDEN ST
TITUSVILLE, FL 32796
Brevard County (321) 269-9612

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 Mission Family Medicine LLC's NPI number?

The NPI number for Mission Family Medicine LLC is 1699447086. It was assigned to this organization in the NPPES registry on October 4, 2021.

Where is Mission Family Medicine LLC located?

Mission Family Medicine LLC is located at 1785 Garden St, Titusville, FL 32796. The listed phone number is (321) 269-9612.

What is Mission Family Medicine LLC's specialty?

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

Does Mission Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1102278) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mission Family Medicine LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mission Family Medicine LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mission Family Medicine LLC was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.