| Noles Medical Services | |
|
996 Airport Rd Destin FL 32541-2824 | |
| (313) 600-5589 | |
| Not Available |
| Full Name | Noles Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 996 Airport Rd, Destin, Florida |
| Authorized Official Name and Position | Amira Noles (OWNER) |
| Authorized Official Contact | 3136005589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noles Medical Services 351 Channelside Walk Way Apt 4405 Tampa FL 33602-6765 Ph: (313) 600-5589 | Noles Medical Services 996 Airport Rd Destin FL 32541-2824 Ph: (313) 600-5589 |
| NPI Number | 1619578663 |
|---|---|
| Provider Enumeration Date | 11/05/2020 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 7416364393 |
|---|---|
| Medicare Enrollment ID | O20210319000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619578663 | NPI | - | NPPES |
| I2018107000675 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Amira A Noles |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063862837 PECOS PAC ID: 0840542031 Enrollment ID: I20210319000954 |
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