| Contini Family Medicine Llc | |
|
3269 Highway 90 Bonifay FL 32425-6001 | |
| (850) 547-9991 | |
| (850) 547-9992 |
| Full Name | Contini Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3269 Highway 90, Bonifay, Florida |
| Authorized Official Name and Position | Rebekah E Contini (PHYSICIAN) |
| Authorized Official Contact | 8505479991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Contini Family Medicine Llc 3269 Highway 90 Bonifay FL 32425-6001 Ph: (850) 547-9991 | Contini Family Medicine Llc 3269 Highway 90 Bonifay FL 32425-6001 Ph: (850) 547-9991 |
| NPI Number | 1316314305 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 6204131709 |
|---|---|
| Medicare Enrollment ID | O20160222000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316314305 | NPI | - | NPPES |
| 014273300 | Medicaid | FL | |
| 1598026429 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME118029 (Florida) | Primary |
| Provider Name | Kyle Vincent Contini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336400266 PECOS PAC ID: 7214150994 Enrollment ID: I20140527001720 |
| Provider Name | Rebekah E Contini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598026429 PECOS PAC ID: 5991922627 Enrollment ID: I20140804001553 |
| Provider Name | Marietta Elise Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416951 PECOS PAC ID: 1951638378 Enrollment ID: I20190808000325 |
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