Provider Demographics
NPI:1952642266
Name:PATIENTS FIRST FAMILY PRACTICE AND URGENT CARE
Entity Type:Organization
Organization Name:PATIENTS FIRST FAMILY PRACTICE AND URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:W
Authorized Official - Last Name:RADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-452-8580
Mailing Address - Street 1:807 NORTH DIXIE HIGHWAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-3404
Mailing Address - Country:US
Mailing Address - Phone:561-452-8580
Mailing Address - Fax:561-753-7678
Practice Address - Street 1:807 N DIXIE HWY
Practice Address - Street 2:SUITE A
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-2528
Practice Address - Country:US
Practice Address - Phone:561-452-8580
Practice Address - Fax:561-452-8580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1753442363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003234700Medicaid