Provider Demographics
NPI:1528070018
Name:FAMILY CARE ASSOCIATES P A
Entity type:Organization
Organization Name:FAMILY CARE ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAHRAKHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-974-5400
Mailing Address - Street 1:2131 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5713
Mailing Address - Country:US
Mailing Address - Phone:954-974-3636
Mailing Address - Fax:954-974-3630
Practice Address - Street 1:2131 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5713
Practice Address - Country:US
Practice Address - Phone:954-974-3636
Practice Address - Fax:954-974-3630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6567Medicare PIN