FERNHILL FAMILY MEDICINE LLC - NPI 1871641209 - Family Medicine in Mount Dora, FL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Fernhill Family Medicine Llc NPPES

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

FERNHILL FAMILY MEDICINE LLC (NPI 1871641209) is a healthcare organization registered as a family medicine in Mount Dora, Florida and active in the NPI registry since January 2007. The organization lists Kumaran Kondath Mohan, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1871641209

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFERNHILL FAMILY MEDICINE LLC

Location Address4601 N HIGHWAY 19AMount Dora, FL 32757-2039

Mailing Address4601 N Highway 19aMount Dora, FL 32757-2039 · (352) 589-9090 · Fax (352) 589-1433

Phone(352) 589-9090

Fax(352) 589-1433

Organization SubpartNo

Authorized OfficialKumaran Kondath MohanDirect Owner · (352) 589-9090

Enumeration DateJanuary 8, 2007

Last NPPES UpdateOctober 26, 2010

✔ NPI 1871641209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME 83819

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.

4601 N HIGHWAY 19A, Mount Dora, FL 32757

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Other Identifiers 3

Medicare UPING 59618FL

Medicaid265990500FL

Medicare ID-Type Unspecified62884FL

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

Other Providers at the Same Location NPPES 5

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

ALINA COMMUNITY CENTER AT MOUNT DORA LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))