Provider Demographics
NPI:1710417662
Name:P & T FAMILY CARE LLC
Entity Type:Organization
Organization Name:P & T FAMILY CARE LLC
Other - Org Name:P& T FAMILY CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRASHANT
Authorized Official - Middle Name:
Authorized Official - Last Name:JANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-785-3764
Mailing Address - Street 1:1403 MEDICAL PLAZA DR STE 106
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-1085
Mailing Address - Country:US
Mailing Address - Phone:407-328-1575
Mailing Address - Fax:407-328-1577
Practice Address - Street 1:1403 MEDICAL PLAZA DR STE 106
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1085
Practice Address - Country:US
Practice Address - Phone:407-328-1575
Practice Address - Fax:407-328-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty