| Commons Drive Family Medicine | |
|
4012 Commons Dr W Ste 112 Destin FL 32541-8424 | |
| (304) 552-7412 | |
| Not Available |
| Full Name | Commons Drive Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4012 Commons Dr W Ste 112, Destin, Florida |
| Authorized Official Name and Position | Mohamad S Kalou (OWNER) |
| Authorized Official Contact | 3045527412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commons Drive Family Medicine 4012 Commons Dr W Ste 112 Destin FL 32541-8424 Ph: (304) 552-7412 | Commons Drive Family Medicine 4012 Commons Dr W Ste 112 Destin FL 32541-8424 Ph: (304) 552-7412 |
| NPI Number | 1235515727 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 08/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235515727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME119611 (Florida) | Primary |
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