| Commons Drive Family Medicine | |
|
4012 Commons Dr W Ste 112 Destin FL 32541-8424 | |
| (304) 552-7412 | |
| Not Available |
| Full Name | Commons Drive Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4012 Commons Dr W Ste 112, Destin, Florida |
| Authorized Official Name and Position | Mohamad S Kalou (OWNER) |
| Authorized Official Contact | 3045527412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commons Drive Family Medicine 4012 Commons Dr W Ste 112 Destin FL 32541-8424 Ph: (304) 552-7412 | Commons Drive Family Medicine 4012 Commons Dr W Ste 112 Destin FL 32541-8424 Ph: (304) 552-7412 |
| NPI Number | 1235515727 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 08/06/2015 |
| Medicare PECOS PAC ID | 2466980115 |
|---|---|
| Medicare Enrollment ID | O20250109001596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235515727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME119611 (Florida) | Primary |
| Provider Name | Mohamad S Kalou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619065190 PECOS PAC ID: 4183622517 Enrollment ID: I20250117000397 |
Magnolia Medical Clinic P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4012 Commons Dr W, Destin, FL 32541 Phone: 850-243-7681 Fax: 850-243-0471 | |
Be Well Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4641 Gulfstarr Dr Ste 105, Destin, FL 32541 Phone: 850-786-2051 | |
Sacred Heart Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36500 Emerald Coast Pkwy, Destin, FL 32541 Phone: 850-837-0032 Fax: 850-278-3826 | |
Diabetes And Endocrine Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Beach Dr Ste 137c, Destin, FL 32541 Phone: 850-460-7090 Fax: 850-460-7093 | |
Destin Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 996 Airport Rd, Suite E 103, Destin, FL 32541 Phone: 850-837-5562 Fax: 850-837-6085 | |
Charles B Barniv Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 Harbor Blvd, Suite 3, Destin, FL 32541 Phone: 850-837-5181 |