| Shores Medical Pa | |
|
346 N Ridgewood Ave Edgewater FL 32132-1671 | |
| (386) 423-1888 | |
| (386) 423-2030 |
| Full Name | Shores Medical Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 346 N Ridgewood Ave, Edgewater, Florida |
| Authorized Official Name and Position | Susan Hole (ADMINISTRATOR) |
| Authorized Official Contact | 3864231888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shores Medical Pa 346 N Ridgewood Ave Suite A Edgewater FL 32132-1671 Ph: (386) 423-1888 | Shores Medical Pa 346 N Ridgewood Ave Edgewater FL 32132-1671 Ph: (386) 423-1888 |
| NPI Number | 1023114527 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023114527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
Coastline Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 W Knapp Ave, Edgewater, FL 32132 Phone: 386-957-4100 Fax: 386-957-4104 | |
Coastal Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1404 S Ridgewood Ave, Edgewater, FL 32132 Phone: 386-426-8166 Fax: 386-426-6399 | |
Edgewater Internal Medicine Assoc. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2568 S. Ridgewood Ave, Suite 5, Edgewater, FL 32141 Phone: 386-428-4640 Fax: 386-426-1409 | |
Volusia Center For Surgical Excellence, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Ridgewood Ave, Edgewater, FL 32132 Phone: 386-424-1422 Fax: 386-424-1401 |