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465 Minutemen Cswy Cocoa Beach FL 32931-2881 | |
| (321) 783-2412 | |
| (321) 784-1689 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 465 Minutemen Cswy, Cocoa Beach, Florida |
| Authorized Official Name and Position | Santiago M Leyte Vidal (MANAGING MEMBER) |
| Authorized Official Contact | 3217832412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
465 Minutemen Cswy Cocoa Beach FL 32931-2881 Ph: (321) 783-2412 | 465 Minutemen Cswy Cocoa Beach FL 32931-2881 Ph: (321) 783-2412 |
| NPI Number | 1770791741 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770791741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Robert C Udell Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1980 N Atlantic Ave, Suite 1010, Cocoa Beach, FL 32931 Phone: 321-868-0360 Fax: 321-799-4968 | |
Cocoa Beach Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1980 N Atlantic Ave Ste 905, Cocoa Beach, FL 32931 Phone: 321-342-4948 | |
Rocket Well Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Woodland Avenue, Cocoa Beach, FL 32931 Phone: 321-543-8272 | |
Vincent P Marino Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-868-7170 Fax: 321-868-7159 | |