#mip is a
Clinic/center - Multi-specialty based in Bunnell, Florida. #mip is licensed to practice in * (Not Available) (license number ) and their current practice location is
3389 N State St Unit 1, Bunnell, Florida. It can be reached at their office (for appointments etc.) via phone at
(386) 255-4568.
NPI number for #mip is 1073387387 and their current mailing address is 1219 Dunn Ave, Daytona Beach, Florida. #mip
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073387387.
Healthcare Provider's Profile
| Full Name | #mip |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Multi-specialty |
|---|
| Location | 3389 N State St Unit 1, Bunnell, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073387387
- Provider Enumeration Date: 11/08/2023
- Last Update Date: 11/08/2023
Medical Identifiers
Medical identifiers for #mip such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073387387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. #mip is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
#mip
1219 Dunn Ave,
Daytona Beach, FL 32114-2405
Ph: (386) 944-7805 | #mip
3389 N State St Unit 1,
Bunnell, FL 32110-4340
Ph: (386) 255-4568 |
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