Provider Demographics
NPI:1699819037
Name:FAMILY FIRST MEDICAL CENTER INC
Entity Type:Organization
Organization Name:FAMILY FIRST MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:JAMALEDDINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-422-4977
Mailing Address - Street 1:33044 HWY 27
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-7621
Mailing Address - Country:US
Mailing Address - Phone:863-422-4977
Mailing Address - Fax:863-422-7786
Practice Address - Street 1:33044 HWY 27
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-7621
Practice Address - Country:US
Practice Address - Phone:863-422-4977
Practice Address - Fax:863-422-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty