Provider Demographics
NPI:1467148411
Name:TOWN CENTER FAMILY PRACTICE INC
Entity Type:Organization
Organization Name:TOWN CENTER FAMILY PRACTICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEETU
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-650-3792
Mailing Address - Street 1:1642 N VOLUSIA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-3842
Mailing Address - Country:US
Mailing Address - Phone:386-774-0188
Mailing Address - Fax:386-774-1327
Practice Address - Street 1:1642 N VOLUSIA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-3842
Practice Address - Country:US
Practice Address - Phone:386-774-0188
Practice Address - Fax:386-774-1327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN CENTER FAMILY PRACTICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care