| Organization Name: | CENTRAL FAMILY CARE LLC |
| NPI Number: | 1841549599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIMEON H VILCHEZ (PRESIDENT) |
| Mailing Address: | 105 E Jefferson St Quincy |
| State: | FL US |
| Postal Code: | 323512407 |
| Phone Number: | 8505669014 |
| Fax Number: | 2812208979 |
| NPI Enumeration Date: | 09/07/2012 |
| NPI Last Update Date: | 09/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN 379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |