| Beachside Pediatric Associates, P.a. | |
|
490 Highway 85 N Niceville FL 32578-1010 | |
| (850) 419-2691 | |
| (850) 353-2142 |
| Full Name | Beachside Pediatric Associates, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 490 Highway 85 N, Niceville, Florida |
| Authorized Official Name and Position | Clayton Covell Lancaster (PROJECT MANAGER) |
| Authorized Official Contact | 8507588331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachside Pediatric Associates, P.a. 1590 Ruckel Dr Niceville FL 32578-1603 Ph: (850) 621-5058 | Beachside Pediatric Associates, P.a. 490 Highway 85 N Niceville FL 32578-1010 Ph: (850) 419-2691 |
| NPI Number | 1225634462 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 01/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225634462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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