Space Coast Family Practice in Green Bay, WI

Space Coast Family Practice is a primary clinic (Clinic/center) in Green Bay, Wisconsin. The current practice location for Space Coast Family Practice is 3067 Windland Dr, Green Bay, Wisconsin. For appointments, you can reach them via phone at (920) 544-5868. The mailing address for Space Coast Family Practice is 3067 Windland Dr, Green Bay, Wisconsin and phone number is (920) 544-5868.

Space Coast Family Practice is licensed to practice in Florida (license number ME88311) and its NPI number is 1811099054. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (920) 544-5868.

Contact Information

	Space Coast Family Practice
	3067 Windland Dr Green Bay WI 54311-7574
	(920) 544-5868
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Space Coast Family Practice
Speciality	Clinic/center
Location	3067 Windland Dr, Green Bay, Wisconsin
Authorized Official Name and Position	Thomas Charles Betka (PRESIDENT)
Authorized Official Contact	9205445868
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Space Coast Family Practice 3067 Windland Dr Green Bay WI 54311-7574 Ph: (920) 544-5868	Space Coast Family Practice 3067 Windland Dr Green Bay WI 54311-7574 Ph: (920) 544-5868

NPI Details:

NPI Number	1811099054
Provider Enumeration Date	09/01/2006
Last Update Date	08/22/2020

Medical Identifiers

Medical identifiers for Space Coast Family Practice such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811099054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	ME88311 (Florida)	Primary

Reviews and Comments

Clinic/Center in Green Bay, WI

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ams Blvd, Ste C, Green Bay, WI 54313 Phone: 920-445-7222
3d Brows And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hoffman Rd Ste 106, Green Bay, WI 54301 Phone: 920-277-6989
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7229
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 S Webster Ave, Suite 501, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7229
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2015 Shawano Ave, Green Bay, WI 54303 Phone: 920-592-9478 Fax: 920-592-9479
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2920 Ramada Way, Green Bay, WI 54304 Phone: 920-305-0360 Fax: 920-305-0361
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 S Webster Ave Ste 201, Green Bay, WI 54301 Phone: 920-433-3410 Fax: 920-433-3419

Space Coast Family Practice - Primary Care in Green Bay, WI