institution
Surfside Family Practice Llc
Primary Care Clinic/Center in Cocoa Beach, Florida
NPI 1780872705

Surfside Family Practice Llc is a Primary Care Clinic/Center based in Cocoa Beach, FL and is specialized in Primary Care. Surfside Family Practice Llc practices in Cocoa Beach, FL. The NPI Number for Surfside Family Practice Llc is 1780872705 and holds a License No. ME00059920 (Florida).

The current practice location address for Surfside Family Practice Llc is 3000 N Atlantic Ave, Cocoa Beach, FL and can be reached out via phone at 321-799-2554 and via fax at 321-799-4750. You can also correspond with Surfside Family Practice Llc through the mailing address at 3000 N ATLANTIC AVE, COCOA BEACH, FL - 32931-5078 (mailing address contact number: 321-799-2554).

Location: 3000 N Atlantic Ave, Cocoa Beach, FL, 32931-5078
institution
Provider Profile Details
NPI Number
1780872705
Provider Name
Surfside Family Practice Llc
Credential
Provider Entity Type
Organization
Address
3000 N Atlantic Ave, Cocoa Beach, FL, 32931-5078
Phone Number
321-799-2554
Fax Number
321-799-4750
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
055552599 05 FL
AG997 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3000 N Atlantic Ave
City
State
Zip
32931-5078
Phone Number
321-799-2554
Fax Number
321-799-4750
person
Provider Business Mailing Address Details
Address
3000 N Atlantic Ave
City
State
Zip
32931-5078
Phone Number
321-799-2554
Fax Number
321-799-4750
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
ME00059920 (Florida)
Definition
Definition to come...
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