Provider Demographics
NPI:1144182999
Name:AFIC GROUP OF COA LLC
Entity type:Organization
Organization Name:AFIC GROUP OF COA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:FARHAN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:579-400-1124
Mailing Address - Street 1:5440 MARINELLI RD APT 243
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2535
Mailing Address - Country:US
Mailing Address - Phone:579-400-1124
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N STE 29586
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:579-400-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies