| Coastal Family Practice & Acute Care Center Llc | |
|
9961 E County Highway 30a Suite #5 Panama City Beach FL 32413-7282 | |
| (850) 231-9286 | |
| (850) 231-9287 |
| Full Name | Coastal Family Practice & Acute Care Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9961 E County Highway 30a, Panama City Beach, Florida |
| Authorized Official Name and Position | William Robert Marshall (BILLING MANAGER) |
| Authorized Official Contact | 8502319286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Practice & Acute Care Center Llc 9961 E County Highway 30a Suite #5 Panama City Beach FL 32413-7282 Ph: (850) 231-9286 | Coastal Family Practice & Acute Care Center Llc 9961 E County Highway 30a Suite #5 Panama City Beach FL 32413-7282 Ph: (850) 231-9286 |
| NPI Number | 1639223886 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 07/07/2010 |
| Medicare PECOS PAC ID | 3678603545 |
|---|---|
| Medicare Enrollment ID | O20100621000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639223886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carmel D Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114099660 PECOS PAC ID: 9537173984 Enrollment ID: I20060206000588 |
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