| Saint George Medical Center Inc | |
|
1118 Hospital Rd Fort Walton Beach FL 32547-6742 | |
| (850) 862-3415 | |
| Not Available |
| Full Name | Saint George Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1118 Hospital Rd, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Erica George-saintilus (OWNER) |
| Authorized Official Contact | 8508623415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint George Medical Center Inc 790 Barley Port Ln Fort Walton Beach FL 32547-5722 Ph: (850) 862-3415 | Saint George Medical Center Inc 1118 Hospital Rd Fort Walton Beach FL 32547-6742 Ph: (850) 862-3415 |
| NPI Number | 1184137929 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 5294097994 |
|---|---|
| Medicare Enrollment ID | O20180316000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184137929 | NPI | - | NPPES |
| 190605 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ME100869 (Florida) | Primary |
| Provider Name | Erica Adona George-saintilus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679771281 PECOS PAC ID: 5496829475 Enrollment ID: I20080808000668 |
| Provider Name | Andrea Renea Hefner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164209334 PECOS PAC ID: 0244588374 Enrollment ID: I20240208001163 |
| Provider Name | Dia Michelle Bobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255849246 PECOS PAC ID: 7810333408 Enrollment ID: I20240305004484 |
Family Medicine Associates Of The Emerald Coast P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Miracle Strip Pkwy Sw, Suite 23, Fort Walton Beach, FL 32548 Phone: 850-269-2186 Fax: 850-269-2341 | |
James P Wilson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Cloverdale Blvd, Fort Walton Beach, FL 32547 Phone: 850-862-7604 Fax: 850-862-8156 | |
Glass Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
White-wilson Med Ctr-fwb Fp Dept Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Mar Walt Dr, Fp Department, Fort Walton Beach, FL 32547 Phone: 850-863-6600 Fax: 850-862-0977 | |
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Audiology Services Company Usa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Racetrack Rd Nw Ste 20, Fort Walton Beach, FL 32547 Phone: 850-863-4327 Fax: 850-243-8741 |