Pea Ridge Family Care Center INC

NPI #1306822911 in Pace, Florida

Provider Information

NPI Number: 1306822911
Entity Type: Organization
Organization Name: Pea Ridge Family Care Center INC
Primary Specialty: Family Medicine
Enumeration Date: Dec 16, 2005
Last Updated: Dec 12, 2011

Practice Location

Address: 5553 HIGHWAY 90
City: Pace
State: Florida
ZIP Code: 32571-1540
Phone: (850) 995-8811

Authorized Official

Name: PURUSHOTTAM K. GARG, MD
Title: OWNER
Phone: (850) 995-8811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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