CLAY PRIMARY & FAMILY CARE LLC (NPI# 1730186792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730186792 |
| Entity Type | Organization |
| Organization Name | CLAY PRIMARY & FAMILY CARE LLC |
| Practice Address |
865 Blanding Blvd Orange Park FL 32065-8917 |
| Practice Telephone | 9042761133 |
| Practice Fax Number | 9042761821 |
| Mailing Telephone | 9042761133 |
| Mailing Fax Number | 9042761821 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | DR. MASSOUD MOSHIREE (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9042761133 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 255561100 | 05 |
| Street Address |
865 BLANDING BLVD |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-8917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247418 | Beethoven T Ruedas | Family Medicine | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2005-07-05 |
| 1225526239 | Jessica Lynn Kalarovich | Nurse Practitioner | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2018-04-25 |
| 1619306156 | Sarah L Wheeler | Nurse Practitioner | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2013-11-05 |
| 1548503105 | Jessie Cirolia | Nurse Practitioner | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2013-04-02 |
| 1467743997 | Kelly Miller Trumble | Nurse Practitioner | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2011-05-02 |
| 1932342672 | Kiona Christina Pritchard | Nurse Practitioner | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2009-04-10 |
| 1477791069 | Seyed S. Hosseini | Family Medicine | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2009-02-04 |
| 1124044672 | Abdul A Qazizada | Family Medicine | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2006-07-15 |
| 1598762650 | Massoud Moshiree | Family Medicine | 865 Blanding Blvd, Orange Park, FL 32065-8917 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| 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 |
|---|---|---|---|---|
| 1811439516 | Baptist Primary Care Inc | Family Medicine | 769 Blanding Blvd, Suite 7, Orange Park, FL 32065-8720 | 2016-11-11 |
| 1538519640 | Johnique C Bennett | Family Medicine | 2300 Park Ave Ste 205, Orange Park, FL 32073 | 2016-06-20 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| 1144591249 | David Maynoldi | Family Medicine | 1202 Kingsley Ave, Orange Park, FL 32073-4632 | 2012-01-20 |
| 1710293980 | Ai Belcon | Family Medicine | 1242 Tahoe Ct, Orange Park, FL 32065-6677 | 2010-08-26 |
| 1154502110 | Baptist Primary Care Inc | Family Medicine | 1590 Island Ln, Suite 1, Orange Park, FL 32003-4406 | 2007-11-19 |
| 1265627541 | Gaines C Martin Md Phd Pa | Family Medicine | 1409 Kingsley Ave Ste 9g, Orange Park, FL 32073-4579 | 2007-09-11 |
| 1194854539 | Charles Marshall House Jr. | Family Medicine | 4607 Highway 17 South, Orange Park, FL 32003-7866 | 2007-03-03 |
| 1194851352 | Sharon Lisa Acevedo | Family Medicine | 971 Prairie Dunes Ct, Orange Park, FL 32065-2680 | 2007-02-24 |
| 1568514503 | First Choice Family Practice Pa | Family Medicine | 550 Wells Rd, Suite 17, Orange Park, FL 32073-2969 | 2007-01-18 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
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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.