| Coastal Internal Medicine, Llc | |
|
12007 Panama City Beach Pkwy Panama City Beach FL 32407-2607 | |
| (850) 234-5151 | |
| (850) 234-3303 |
| Full Name | Coastal Internal Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12007 Panama City Beach Pkwy, Panama City Beach, Florida |
| Authorized Official Name and Position | Ismail Zabih (PRESIDENT) |
| Authorized Official Contact | 8502345151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Internal Medicine, Llc 12007 Panama City Beach Pkwy Panama City Beach FL 32407-2607 Ph: (850) 234-5151 | Coastal Internal Medicine, Llc 12007 Panama City Beach Pkwy Panama City Beach FL 32407-2607 Ph: (850) 234-5151 |
| NPI Number | 1184163909 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Medicare PECOS PAC ID | 8729365051 |
|---|---|
| Medicare Enrollment ID | O20170515001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184163909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME85390 (Florida) | Primary |
| Provider Name | Ismail M Zabih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964065 PECOS PAC ID: 8426083114 Enrollment ID: I20051003000195 |
| Provider Name | Scott R Heilmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164875894 PECOS PAC ID: 0648537589 Enrollment ID: I20171130001218 |
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