| Gulfside Medical Care Llc | |
|
12671 Emerald Coast Pkwy Unit 215 Miramar Beach FL 32550-8304 | |
| (850) 424-7170 | |
| Not Available |
| Full Name | Gulfside Medical Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12671 Emerald Coast Pkwy Unit 215, Miramar Beach, Florida |
| Authorized Official Name and Position | Thomas G Roberts (PA-C) |
| Authorized Official Contact | 8504247170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulfside Medical Care Llc 12671 Emerald Coast Pkwy Unit 215 Miramar Beach FL 32550-8304 Ph: (850) 424-7170 | Gulfside Medical Care Llc 12671 Emerald Coast Pkwy Unit 215 Miramar Beach FL 32550-8304 Ph: (850) 424-7170 |
| NPI Number | 1952697724 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952697724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME84716 (Florida) | Primary |
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