| Becky Durham-flint, P.a. | |
|
105 S Riverside Dr Suite 100 Indialantic FL 32903-4365 | |
| (321) 733-2299 | |
| (321) 733-7515 |
| Full Name | Becky Durham-flint, P.a. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 105 S Riverside Dr, Indialantic, Florida |
| Authorized Official Name and Position | Becky T Durham (OWNER) |
| Authorized Official Contact | 3217332299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becky Durham-flint, P.a. 105 S Riverside Dr Suite 100 Indialantic FL 32903-4365 Ph: (321) 733-2299 | Becky Durham-flint, P.a. 105 S Riverside Dr Suite 100 Indialantic FL 32903-4365 Ph: (321) 733-2299 |
| NPI Number | 1245552876 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 02/23/2010 |
| Medicare PECOS PAC ID | 3577607811 |
|---|---|
| Medicare Enrollment ID | O20100224000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245552876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000389 (Florida) | Primary |
| Provider Name | Becky T Durham-flint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851328470 PECOS PAC ID: 1456495795 Enrollment ID: I20100224000419 |
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