Family And Pediatric Clinic | |
3000 N Atlantic Ave Suite 102 Cocoa Beach FL 32931-5078 | |
(321) 784-5367 | |
Not Available |
Full Name | Family And Pediatric Clinic |
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Speciality | Counselor |
Location | 3000 N Atlantic Ave, Cocoa Beach, Florida |
Authorized Official Name and Position | Betsy Liston (OFFICE MANAGER) |
Authorized Official Contact | 3217845367 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family And Pediatric Clinic 3000 N Atlantic Ave Suite 102 Cocoa Beach FL 32931-5078 Ph: () - | Family And Pediatric Clinic 3000 N Atlantic Ave Suite 102 Cocoa Beach FL 32931-5078 Ph: (321) 784-5367 |
NPI Number | 1508269747 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |
Identifier | Type | State | Issuer |
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1508269747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | IMH11652 (Florida) | Primary |
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