| Rural Primary Care South-walton, Inc. | |
|
5551 Us Highway 98 Suite 2 Santa Rosa Beach FL 32459 | |
| (850) 420-5420 | |
| (850) 244-8011 |
| Full Name | Rural Primary Care South-walton, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5551 Us Highway 98, Santa Rosa Beach, Florida |
| Authorized Official Name and Position | Amanda Patton (PRACTICE MANAGER) |
| Authorized Official Contact | 8504205420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Primary Care South-walton, Inc. 5551 Us Highway 98 Suite 2 Santa Rosa Beach FL 32459 Ph: (850) 420-5420 | Rural Primary Care South-walton, Inc. 5551 Us Highway 98 Suite 2 Santa Rosa Beach FL 32459 Ph: (850) 420-5420 |
| NPI Number | 1912545955 |
|---|---|
| Provider Enumeration Date | 12/19/2019 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 0446672653 |
|---|---|
| Medicare Enrollment ID | O20200617000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912545955 | NPI | - | NPPES |
| 110818301 | Medicaid | FL |
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