| Eads Medical Practice | |
|
800 Sterthaus Ave Ste A Ormond Beach FL 32174-5132 | |
| (386) 673-5411 | |
| (386) 673-2285 |
| Full Name | Eads Medical Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Sterthaus Ave Ste A, Ormond Beach, Florida |
| Authorized Official Name and Position | Elizabeth Anne Eads (OWNER) |
| Authorized Official Contact | 3856735411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eads Medical Practice 800 Sterthaus Ave Ste A Ormond Beach FL 32174-5132 Ph: (386) 673-5411 | Eads Medical Practice 800 Sterthaus Ave Ste A Ormond Beach FL 32174-5132 Ph: (386) 673-5411 |
| NPI Number | 1285668137 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 01/25/2008 |
| Medicare PECOS PAC ID | 9133128440 |
|---|---|
| Medicare Enrollment ID | O20061214000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285668137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0007549 (Florida) | Primary |
| Provider Name | Elizabeth A Eads |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548294481 PECOS PAC ID: 1052329059 Enrollment ID: I20060403000471 |
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