| Calvin Blount Jr Md Pa | |
|
12607 Us Highway 98 W Miramar Beach FL 32550-6825 | |
| (850) 837-4844 | |
| (850) 837-6625 |
| Full Name | Calvin Blount Jr Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12607 Us Highway 98 W, Miramar Beach, Florida |
| Authorized Official Name and Position | Calvin L Blount (CEO) |
| Authorized Official Contact | 8508374844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Blount Jr Md Pa Po Box 6354 Miramar Beach FL 32550-1003 Ph: (850) 837-4844 | Calvin Blount Jr Md Pa 12607 Us Highway 98 W Miramar Beach FL 32550-6825 Ph: (850) 837-4844 |
| NPI Number | 1447245691 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1254438518 |
|---|---|
| Medicare Enrollment ID | O20070521000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447245691 | NPI | - | NPPES |
| 44250 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME76428 (Florida) | Primary |
| Provider Name | Calvin L Blount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164404588 PECOS PAC ID: 5698723633 Enrollment ID: I20050106000692 |
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