| Seabreeze Medical Pa | |
|
320 3rd St Ste B Neptune Beach FL 32266 | |
| (904) 699-2620 | |
| Not Available |
| Full Name | Seabreeze Medical Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 3rd St Ste B, Neptune Beach, Florida |
| Authorized Official Name and Position | Deborah Ghandour (CO-PRESIDENT) |
| Authorized Official Contact | 9048536143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seabreeze Medical Pa 320 3rd St Ste B Neptune Beach FL 32266 Ph: () - | Seabreeze Medical Pa 320 3rd St Ste B Neptune Beach FL 32266 Ph: (904) 699-2620 |
| NPI Number | 1487172094 |
|---|---|
| Provider Enumeration Date | 09/03/2017 |
| Last Update Date | 04/02/2018 |
| Medicare PECOS PAC ID | 3779846696 |
|---|---|
| Medicare Enrollment ID | O20180406000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487172094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME9103 (Florida) | Primary |
| Provider Name | Mark V Barrow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861583833 PECOS PAC ID: 2668406745 Enrollment ID: I20050920000180 |
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