Quality Primary Care | |
514 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4025 | |
(850) 466-3399 | |
(850) 226-6712 |
Full Name | Quality Primary Care |
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Speciality | Clinic/Center |
Location | 514 Mary Esther Cut Off Nw, Fort Walton Beach, Florida |
Authorized Official Name and Position | Narendra Kumar Gowda (MEDICAL DIRECTOR) |
Authorized Official Contact | 8504663399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quality Primary Care 514 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4025 Ph: (850) 466-3399 | Quality Primary Care 514 Mary Esther Cut Off Nw Fort Walton Beach FL 32548-4025 Ph: (850) 466-3399 |
NPI Number | 1386042703 |
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Provider Enumeration Date | 12/17/2014 |
Last Update Date | 06/21/2021 |
Medicare PECOS PAC ID | 2365757119 |
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Medicare Enrollment ID | O20150824000131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386042703 | NPI | - | NPPES |
265037100 | Medicaid | FL | |
009911303 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
Provider Name | Narendra K Gowda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740232214 PECOS PAC ID: 4981594454 Enrollment ID: I20040318000149 |
Provider Name | Courtney L Truax |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386096436 PECOS PAC ID: 9830465533 Enrollment ID: I20171025000643 |
Provider Name | Jessica Nicole Graham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346733615 PECOS PAC ID: 0547503880 Enrollment ID: I20190530000102 |
Provider Name | Sherry Chandler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518747708 PECOS PAC ID: 3971940321 Enrollment ID: I20240321001995 |
Coastline Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1817 Lewis Turner Blvd Ste F, Fort Walton Beach, FL 32547 Phone: 850-396-1110 | |
Family Medicine Associates Of The Emerald Coast P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Miracle Strip Pkwy Sw, Suite 23, Fort Walton Beach, FL 32548 Phone: 850-269-2186 Fax: 850-269-2341 | |
James P Wilson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Cloverdale Blvd, Fort Walton Beach, FL 32547 Phone: 850-862-7604 Fax: 850-862-8156 | |
Glass Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
White-wilson Med Ctr-fwb Fp Dept Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Mar Walt Dr, Fp Department, Fort Walton Beach, FL 32547 Phone: 850-863-6600 Fax: 850-862-0977 | |
Bridgeway Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-226-8857 Fax: 850-226-8859 | |
Saint George Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1118 Hospital Rd, Fort Walton Beach, FL 32547 Phone: 850-862-3415 |