Provider Demographics
NPI:1457161150
Name:FIGNAR FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:FIGNAR FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:FIGNAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-670-4241
Mailing Address - Street 1:132 S MILL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06073-2222
Mailing Address - Country:US
Mailing Address - Phone:860-670-4241
Mailing Address - Fax:
Practice Address - Street 1:900 PINE ST STE 127
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-4457
Practice Address - Country:US
Practice Address - Phone:941-681-3333
Practice Address - Fax:941-681-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty