| Beaches Family Medicine Pa | |
|
228 6th Ave S Jacksonville Beach FL 32250-6634 | |
| (904) 247-1911 | |
| (904) 247-9736 |
| Full Name | Beaches Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 228 6th Ave S, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Vaughn E Dobalian (PHYSICIAN AND OWNER) |
| Authorized Official Contact | 9042471911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaches Family Medicine Pa 228 6th Ave S Jacksonville Beach FL 32250-6634 Ph: (904) 247-1911 | Beaches Family Medicine Pa 228 6th Ave S Jacksonville Beach FL 32250-6634 Ph: (904) 247-1911 |
| NPI Number | 1407986920 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 2961422894 |
|---|---|
| Medicare Enrollment ID | O20051206000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407986920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0004709 (Florida) | Primary |
| Provider Name | Vaughn Dobalian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245260199 PECOS PAC ID: 8729087929 Enrollment ID: I20071201000187 |
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