| Beachside Medical Center | |
|
1055 N Dixie Fwy Suite 6 New Smyrna Beach FL 32168-6201 | |
| (386) 957-9850 | |
| (386) 410-3731 |
| Full Name | Beachside Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1055 N Dixie Fwy, New Smyrna Beach, Florida |
| Authorized Official Name and Position | Dina Marie Doolin (PRESIDENT) |
| Authorized Official Contact | 3864230505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachside Medical Center 1055 N Dixie Fwy Suite 6 New Smyrna Beach FL 32168-6201 Ph: (386) 957-9850 | Beachside Medical Center 1055 N Dixie Fwy Suite 6 New Smyrna Beach FL 32168-6201 Ph: (386) 957-9850 |
| NPI Number | 1891197448 |
|---|---|
| Provider Enumeration Date | 09/25/2014 |
| Last Update Date | 06/09/2015 |
| Medicare PECOS PAC ID | 5395053599 |
|---|---|
| Medicare Enrollment ID | O20151008001503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891197448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8699 (Florida) | Primary |
| Provider Name | Dina Marie Doolin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356446223 PECOS PAC ID: 8325181639 Enrollment ID: I20100209000620 |
| Provider Name | Beth Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528383296 PECOS PAC ID: 8820127855 Enrollment ID: I20100528000649 |
| Provider Name | Jessica Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093346769 PECOS PAC ID: 9234568734 Enrollment ID: I20200404000315 |
| Provider Name | Gregory Wade Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043826688 PECOS PAC ID: 4880098821 Enrollment ID: I20210812001584 |
Causeway Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-427-8008 Fax: 386-402-4309 | |
Metcare Of New Smyrna Beach Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1722 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-3241 Fax: 986-427-8440 | |
Russell E. Perry, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Palmetto St Ste A, New Smyrna Beach, FL 32168 Phone: 386-423-1212 Fax: 386-423-5730 | |
Mark K Nagrani Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-423-5500 Fax: 800-813-9164 | |
Idc Of Volusia, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-410-4981 Fax: 386-410-4982 | |
Better Life Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1704 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-402-4147 | |
Quick Care Medical Treatment Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 S Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-426-8600 Fax: 386-426-6090 |