Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Medical Practice Management, Inc

Organization Family Medicine Physician · NPI 1366687923

Family Medical Practice Management, Inc is a Family Medicine Physician in Holly Hill, Florida. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

645 Ridgewood Ave
Holly Hill, FL 32117-3617
Phone: (386) 258-5476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Occupational Medicine Physician Taxonomy 2083X0100X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1366687923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Levin — Secretary · (386) 258-5476
NPI enumeratedDecember 11, 2008
Last updated in NPPESDecember 11, 2008
Mailing address645 Ridgewood Ave, Holly Hill, FL 32117-3617

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