Beaches Family Medicine Pa in Jacksonville Beach - Family Medicine
Beaches Family Medicine Pa - NPI 1407986920
Beaches Family Medicine Pa is a Family Medicine in Jacksonville Beach, Florida. Beaches Family Medicine Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Beaches Family Medicine Pa is 1407986920. The last update date is 2022-08-24.
Beaches Family Medicine Pa's current location address is 228 6th Ave S, Jacksonville Beach, Florida. You can contact this provider via phone number 9042471911 and fax number 9042479736. The mailing address for Beaches Family Medicine Pa is 228 6th Ave S, Jacksonville Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Beaches Family Medicine Pa |
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Address | 228 6th Ave S, Jacksonville Beach, Florida |
Phone Number | 9042471911 |
Fax Number | 9042479736 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Dobalian E Vaughn |
Credentials | M.D. |
Telephone Number | 9042471911 |
NPI Number Detail
NPI Number | 1407986920 |
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Provider Enumeration Date | 2007-03-06 |
Last Updated Date | 2022-08-24 |
Provider Mailing Address Detail
Address | 228 6th Ave S |
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City | Jacksonville Beach |
State | Florida (FL) |
Post Code | 322506634 |
Phone Number | 9042471911 |
Fax Number | 9042479736 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | OS0004709 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the Beaches Family Medicine Pa's unique identification number?
The Beaches Family Medicine Pa has been assigned the NPI (National Provider Identifier) Number 1407986920 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Beaches Family Medicine Pa's physical address?
The Beaches Family Medicine Pa is physically located at 228 6Th Ave S, in the city of Jacksonville Beach, FL, with the postal code 322506634.
What is the Beaches Family Medicine Pa's area of specialization and corresponding taxonomy classification?
The Beaches Family Medicine Pa's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1407986920 to Beaches Family Medicine Pa?
The Beaches Family Medicine Pa received its 1407986920 assignment from the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information related to Beaches Family Medicine Pa most recently updated or refreshed?
The details pertaining to the Beaches Family Medicine Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-08-24.