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Pea Ridge Family Care Center Inc

Family Medicine Physician in Pace, FL · enumerated 2005 · authorized official Purushottam Garg, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306822911

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Registry record

Entity type Organization (Type 2)
Legal business name Pea Ridge Family Care Center Inc
Practice address 5553 Highway 90, Pace, FL, 32571
Phone (850) 995-8811
Fax (850) 995-8810
Enumeration date Dec 16, 2005
Last updated in NPPES Dec 12, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Purushottam Garg
Title Owner
Phone (850) 995-8811

Other identifiers

Identifier Type State Issuer
251128200 Medicaid FL -
38616 Other FL BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-12-12. Verify at npiregistry.cms.hhs.gov.
Where is Pea Ridge Family Care Center Inc located?
The practice location on file with NPPES is in Pace, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-12-12.