| Surfside Family Practice Llc | |
|
3000 N Atlantic Ave Suite 108 Cocoa Beach FL 32931-5078 | |
| (321) 799-2554 | |
| (321) 799-4750 |
| Full Name | Surfside Family Practice Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3000 N Atlantic Ave, Cocoa Beach, Florida |
| Authorized Official Name and Position | Harry Allen Earle (DOCTOR) |
| Authorized Official Contact | 3217992554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Family Practice Llc 3000 N Atlantic Ave Suite 108 Cocoa Beach FL 32931-5078 Ph: (321) 799-2554 | Surfside Family Practice Llc 3000 N Atlantic Ave Suite 108 Cocoa Beach FL 32931-5078 Ph: (321) 799-2554 |
| NPI Number | 1780872705 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780872705 | NPI | - | NPPES |
| 055552599 | Medicaid | FL | |
| AG997 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME00059920 (Florida) | Primary |
Robert C Udell Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1980 N Atlantic Ave, Suite 1010, Cocoa Beach, FL 32931 Phone: 321-868-0360 Fax: 321-799-4968 | |
Cocoa Beach Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1980 N Atlantic Ave Ste 905, Cocoa Beach, FL 32931 Phone: 321-342-4948 | |
Rocket Well Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Woodland Avenue, Cocoa Beach, FL 32931 Phone: 321-543-8272 | |
Vincent P Marino Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W Cocoa Beach Cswy, Cocoa Beach, FL 32931 Phone: 321-868-7170 Fax: 321-868-7159 | |