Provider Demographics
NPI:1992927149
Name:FAMILY MEDICAL INC.
Entity type:Organization
Organization Name:FAMILY MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:NADENE
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-720-6338
Mailing Address - Street 1:4630 N UNIVERSITY DR
Mailing Address - Street 2:PMB 316
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4626
Mailing Address - Country:US
Mailing Address - Phone:954-720-6338
Mailing Address - Fax:954-720-6559
Practice Address - Street 1:7975 WEST NCNAB ROAD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321
Practice Address - Country:US
Practice Address - Phone:954-720-6338
Practice Address - Fax:954-720-6559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty