TECSON FAMILY PRACTICE INC (NPI# 1205097060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205097060 |
| Entity Type | Organization |
| Organization Name | TECSON FAMILY PRACTICE INC |
| Practice Address |
725 S 6th St Maccle Macclenny FL 32063 |
| Mailing Address |
725 S 6th St Macclenny FL 32063 |
| Practice Telephone | 9042593150 |
| Practice Fax Number | 9042597890 |
| Mailing Telephone | 9042593150 |
| Mailing Fax Number | 9042597890 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | MR. ANGELITO B TECSON (OWNER) |
| Authorized Official Telephone | 9042593150 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 00ME28296 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AV MED | 041706 | 01 |
| FL | 058027900 | 05 | |
| FL | AETNA | 586668 | 01 |
| Street Address |
725 S 6TH ST MACCLE |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144283219 | Angelito B Tecson | Family Medicine | 725 S 6th St, Macclenny, FL 32063 | 2006-04-10 |
| 1578028478 | Kassie Crews Shoup | Nurse Practitioner | 725 S 6th St, Macclenny, FL 32063-9653 | 2019-02-05 |
| 1467986737 | First Coast Cardiovascular | Internal Medicine | 725 S 6th St, Macclenny, FL 32063-9653 | 2017-04-13 |
| 1659770121 | Whitney Renae Nimmo-olsen | Nurse Practitioner | 725 S 6th St, Macclenny, FL 32063-9653 | 2014-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710136577 | Charles D. Scarborough M.d. | Family Medicine | 31 South 5th Street, Macclenny, FL 32063-2301 | 2008-09-16 |
| 1487840633 | Lynn Michael Waters Jr. | Family Medicine | 802 S 6th St, Macclenny, FL 32063-9608 | 2007-09-21 |
| 1437214541 | Southern Medical Clinic Pa | Family Medicine | 32 S 5th St, Macclenny, FL 32063-2302 | 2006-12-27 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1144283219 | Angelito B Tecson | Family Medicine | 725 S 6th St, Macclenny, FL 32063 | 2006-04-10 |
| 1639139116 | Gary Dopson | Family Medicine | 159 N 3rd St, Macclenny, FL 32063-2103 | 2006-03-27 |
| 1346494556 | Peter C. Jansen Md | Family Medicine | 159 N 3rd St, Macclenny, FL 32063-2103 | 2008-11-14 |
| 1104961689 | Mary Robinson | Family Medicine | 480 W Lowder St, Macclenny, FL 32063-2664 | 2007-02-21 |
| 1720179757 | Quoi Quyen Nguyen | Family Medicine | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2006-09-27 |
| 1730287152 | Patricia A. Jones | Family Medicine | 159 N 3rd St, Macclenny, FL 32063-2103 | 2006-09-20 |
| Find all providers in MACCLENNY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.