| Beachside Pediatric Therapy Inc | |
|
2040 Highway A1a Ste 203 Indian Harbour Beach FL 32937-3566 | |
| (321) 890-7720 | |
| (321) 821-0477 |
| Full Name | Beachside Pediatric Therapy Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 2040 Highway A1a Ste 203, Indian Harbour Beach, Florida |
| Authorized Official Name and Position | Kimberly Mills (OWNER/PRESIDENT) |
| Authorized Official Contact | 3218907720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachside Pediatric Therapy Inc Po Box 372084 Satellite Beach FL 32937-0084 Ph: (321) 890-7720 | Beachside Pediatric Therapy Inc 2040 Highway A1a Ste 203 Indian Harbour Beach FL 32937-3566 Ph: (321) 890-7720 |
| NPI Number | 1003671736 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003671736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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