South Beach Medical Associates, Llc | |
2100 Se Ocean Blvd Ste 200b Stuart FL 34996-3332 | |
(772) 252-5265 | |
(772) 874-3115 |
Full Name | South Beach Medical Associates, Llc |
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Speciality | Family Medicine |
Location | 2100 Se Ocean Blvd Ste 200b, Stuart, Florida |
Authorized Official Name and Position | Nevine N Mahmoud (MEDICAL DIRECTOR) |
Authorized Official Contact | 7728743365 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Beach Medical Associates, Llc 2100 Se Ocean Blvd Ste 200b Stuart FL 34996-3332 Ph: (772) 252-5265 | South Beach Medical Associates, Llc 2100 Se Ocean Blvd Ste 200b Stuart FL 34996-3332 Ph: (772) 252-5265 |
NPI Number | 1730943614 |
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Provider Enumeration Date | 02/12/2024 |
Last Update Date | 02/12/2024 |
Medicare PECOS PAC ID | 3678010220 |
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Medicare Enrollment ID | O20240801000692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730943614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nevine Mahmoud |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265608038 PECOS PAC ID: 1850551680 Enrollment ID: I20180627002536 |
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