Surfside Family Practice Llc in Cocoa Beach - Primary Care
Surfside Family Practice Llc - NPI 1780872705
Surfside Family Practice Llc is a Primary Care in Cocoa Beach, Florida. Surfside Family Practice Llc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Surfside Family Practice Llc is 1780872705. The last update date is 2008-04-22.
Surfside Family Practice Llc's current location address is 3000 N Atlantic Ave, Cocoa Beach, Florida. You can contact this provider via phone number 3217992554 and fax number 3217994750. The mailing address for Surfside Family Practice Llc is 3000 N Atlantic Ave, Cocoa Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Surfside Family Practice Llc |
|---|---|
| Address | 3000 N Atlantic Ave, Cocoa Beach, Florida |
| Phone Number | 3217992554 |
| Fax Number | 3217994750 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Earle Allen Harry |
| Credentials | M.D. |
| Telephone Number | 3217992554 |
NPI Number Detail
| NPI Number | 1780872705 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 3000 N Atlantic Ave |
|---|---|
| City | Cocoa Beach |
| State | Florida (FL) |
| Post Code | 329315078 |
| Phone Number | 3217992554 |
| Fax Number | 3217994750 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | ME00059920 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55552599 | FL | -- | |
| AG997 | FL | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Surfside Family Practice Llc?
The Surfside Family Practice Llc has been issued the NPI (National Provider Identifier) 1780872705 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Surfside Family Practice Llc's facilities are geographically located?
The facilities of Surfside Family Practice Llc are physically situated at the following location: 3000 N Atlantic Ave, Cocoa Beach, FL, 329315078.
What is the Surfside Family Practice Llc's area of specialization and corresponding taxonomy classification?
The Surfside Family Practice Llc's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Surfside Family Practice Llc receive the assignment of its 1780872705 from the Centers for Medicare & Medicaid Services?
The Surfside Family Practice Llc was issued its 1780872705 by the Centers for Medicare & Medicaid Services on 2007-10-04.
When was the information related to Surfside Family Practice Llc most recently updated or refreshed?
The details pertaining to the Surfside Family Practice Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-22.