| Surfside Family Medicine Llc | |
|
3000 N Atlantic Ave Ste 108 Cocoa Beach FL 32931-5029 | |
| (321) 799-2554 | |
| (321) 799-4750 |
| Full Name | Surfside Family Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3000 N Atlantic Ave Ste 108, Cocoa Beach, Florida |
| Authorized Official Name and Position | Olga Dorjima Emgushov (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3217992554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Family Medicine Llc 3000 N Atlantic Ave Ste 108 Cocoa Beach FL 32931-5029 Ph: (321) 799-2554 | Surfside Family Medicine Llc 3000 N Atlantic Ave Ste 108 Cocoa Beach FL 32931-5029 Ph: (321) 799-2554 |
| NPI Number | 1801028246 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 08/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801028246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME94076 (Florida) | Primary |
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