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2583 Gulf Breeze Pkwy Gulf Breeze FL 32563-3043 | |
| (850) 444-7000 | |
| (850) 434-8144 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 2583 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Authorized Official Name and Position | Justin Dansby (CFO) |
| Authorized Official Contact | 8504444700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 11037 Pensacola FL 32524-1037 Ph: (850) 444-7000 | 2583 Gulf Breeze Pkwy Gulf Breeze FL 32563-3043 Ph: (850) 444-7000 |
| NPI Number | 1245273242 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245273242 | NPI | - | NPPES |
| 256870504 | Medicaid | FL | |
| 256870505 | Medicaid | FL | |
| 256870506 | Medicaid | FL | |
| 256870501 | Medicaid | FL | |
| 256870508 | Medicaid | FL | |
| 99659 | Other | FL | BCBS OF FLORIDA |
| 256870507 | Medicaid | FL | |
| 0358 | Other | FL | MED3000/HEALTH 1ST NETWOR |
| 256870500 | Medicaid | FL | |
| CF9776 | Other | RR MEDICARE | |
| 256870503 | Medicaid | FL | |
| 256870502 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Live Oak Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2896 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-932-2203 Fax: 850-934-0050 | |
Gulf Coast Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-437-8625 Fax: 850-916-4715 | |
Goodendos Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561 Phone: 850-733-3636 Fax: 448-444-5678 | |
Janice M Hudson Md Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-934-3256 Fax: 850-934-9680 | |
Coastal Medical Integration Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3481 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-903-1708 | |
Marianne Hazelitt Do Professional Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4181 Soundside Dr # B, None, Gulf Breeze, FL 32563 Phone: 310-408-0227 |