| Commons Drive Family Medicine, Llc | |
|
4012 Commons Dr W Ste 112 Destin FL 32541-8424 | |
| (850) 650-2600 | |
| (206) 338-2314 |
| Full Name | Commons Drive Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4012 Commons Dr W Ste 112, Destin, Florida |
| Authorized Official Name and Position | Andre Abelly (SOLE MBR) |
| Authorized Official Contact | 8506502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commons Drive Family Medicine, Llc Po Box 635 Destin FL 32540-0635 Ph: (850) 650-2600 | Commons Drive Family Medicine, Llc 4012 Commons Dr W Ste 112 Destin FL 32541-8424 Ph: (850) 650-2600 |
| NPI Number | 1689935926 |
|---|---|
| Provider Enumeration Date | 06/04/2012 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689935926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME76868 (Florida) | Primary |
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