The Model Medical Group | |
333 W Cocoa Beach Cswy Ste D Cocoa Beach FL 32931-3513 | |
(516) 384-1134 | |
Not Available |
Full Name | The Model Medical Group |
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Speciality | Family Medicine |
Location | 333 W Cocoa Beach Cswy Ste D, Cocoa Beach, Florida |
Authorized Official Name and Position | Erica Monica Crew (ADMINISTRATOR) |
Authorized Official Contact | 5163841134 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Model Medical Group 2555 Cox Rd Cocoa FL 32926-3525 Ph: (516) 384-1134 | The Model Medical Group 333 W Cocoa Beach Cswy Ste D Cocoa Beach FL 32931-3513 Ph: (516) 384-1134 |
NPI Number | 1891359162 |
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Provider Enumeration Date | 04/23/2019 |
Last Update Date | 04/23/2019 |
Medicare PECOS PAC ID | 0345577433 |
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Medicare Enrollment ID | O20190813000629 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891359162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Erica Monica Crew |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538312988 PECOS PAC ID: 6608186937 Enrollment ID: I20180412000394 |
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 | |