| Ennoble HC FL LLC | |
|
2744 Gulf Breeze Pkwy Gulf Breeze FL 32563-3091 | |
| (551) 295-8223 | |
| Not Available |
| Full Name | Ennoble HC FL LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2744 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Authorized Official Name and Position | Kushabhadra Das (OWNER) |
| Authorized Official Contact | 5512958223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ennoble HC FL LLC 2 University Plz Ste 204 Hackensack NJ 07601-6211 Ph: (551) 295-8223 | Ennoble HC FL LLC 2744 Gulf Breeze Pkwy Gulf Breeze FL 32563-3091 Ph: (551) 295-8223 |
| NPI Number | 1386570802 |
|---|---|
| Provider Enumeration Date | 06/22/2026 |
| Last Update Date | 09/10/2026 |
| Certification Date | 09/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386570802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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