Spacecoast Internal Medicine And Geritric Corp in Sharpes - Internal Medicine

Spacecoast Internal Medicine And Geritric Corp - NPI 1649383720

Spacecoast Internal Medicine And Geritric Corp is a Internal Medicine in Sharpes, Florida. Spacecoast Internal Medicine And Geritric Corp practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Spacecoast Internal Medicine And Geritric Corp is 1649383720. The last update date is 2011-05-12.

Spacecoast Internal Medicine And Geritric Corp's current location address is Po Box 549, Sharpes, Florida. You can contact this provider via phone number 3216394243 and fax number 3216394266. The mailing address for Spacecoast Internal Medicine And Geritric Corp is Po Box 549, Sharpes, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Spacecoast Internal Medicine And Geritric Corp
Address Po Box 549, Sharpes, Florida
Phone Number 3216394243
Fax Number 3216394266
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rasul M Faiaz
Credentials M.D.
Telephone Number 3216394243

NPI Number Detail

NPI Number 1649383720
Provider Enumeration Date 2006-08-16
Last Updated Date 2011-05-12

Provider Mailing Address Detail

Address Po Box 549
City Sharpes
State Florida (FL)
Post Code 329590549
Phone Number 3216394243
Fax Number 3216394266

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME72416
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
251377300 FL --
32700 FL BCBS

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FAQs about Spacecoast Internal Medicine And Geritric Corp

What is the Spacecoast Internal Medicine And Geritric Corp's 1649383720?

The Spacecoast Internal Medicine And Geritric Corp's NPI (National Provider Identifier) Number is 1649383720. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Spacecoast Internal Medicine And Geritric Corp?

The Spacecoast Internal Medicine And Geritric Corp is physically situated at Po Box 549, in the city of Sharpes, state of FL, with the postal code 329590549.

What is Spacecoast Internal Medicine And Geritric Corp's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Spacecoast Internal Medicine And Geritric Corp's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1649383720 to Spacecoast Internal Medicine And Geritric Corp?

The Spacecoast Internal Medicine And Geritric Corp received its 1649383720 assignment from the Centers for Medicare & Medicaid Services on 2006-08-16.

When was the information related to Spacecoast Internal Medicine And Geritric Corp most recently updated or refreshed?

The details pertaining to the Spacecoast Internal Medicine And Geritric Corp, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-05-12.

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