| Coastal Urgent Care And Family Medicine | |
|
1702 Ohio Ave Lynn Haven FL 32444-4290 | |
| (850) 571-5844 | |
| (850) 571-5845 |
| Full Name | Coastal Urgent Care And Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1702 Ohio Ave, Lynn Haven, Florida |
| Authorized Official Name and Position | William R Rhodes (PRES/CEO) |
| Authorized Official Contact | 8505715844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Urgent Care And Family Medicine 1702 Ohio Ave Lynn Haven FL 32444-4290 Ph: (850) 571-5844 | Coastal Urgent Care And Family Medicine 1702 Ohio Ave Lynn Haven FL 32444-4290 Ph: (850) 571-5844 |
| NPI Number | 1518287036 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 07/19/2012 |
| Medicare PECOS PAC ID | 6305039488 |
|---|---|
| Medicare Enrollment ID | O20101021000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518287036 | NPI | - | NPPES |
| Provider Name | Adil Ceydeli |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780704015 PECOS PAC ID: 1557431772 Enrollment ID: I20080530000452 |
| Provider Name | Hatem Mourad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730220070 PECOS PAC ID: 8123181146 Enrollment ID: I20090116000160 |
| Provider Name | Tong C Duong |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033117791 PECOS PAC ID: 5597934984 Enrollment ID: I20110801000302 |
| Provider Name | April G Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518966522 PECOS PAC ID: 4486614658 Enrollment ID: I20210106000229 |
| Provider Name | Amber L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760100903 PECOS PAC ID: 2668828104 Enrollment ID: I20231019002500 |
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