Seagrove Beach Medical Clinic Inc

LBN: Seagrove Beach Medical Clinic Inc
Seagrove Beach Medical Clinic Inc is an health care organization with primary practice located at 5399 E County Highway 30A Suite 5, Santa Rosa Beach FL 32459-6717. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Seagrove Beach Medical Clinic Inc can be contacted via phone (850) 231-6200, or through Roll, George Norman via phone (850) 231-6200.

Contact Information

Primary practice address
5399 E County Highway 30A Suite 5 Santa Rosa Beach FL 32459-6717
Phone: (850) 231-6200
Fax: (850) 231-3500
Website:
Map and Directions
Authorized official contact:
Name: Roll, George Norman PA-C,MS,BA,BS,MPA
Phone: (850) 231-6200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X PA3191 Florida

Profile Details

NPI number 1710022827
LBN Legal business name Seagrove Beach Medical Clinic Inc
DBA Doing business as
Authorized official Roll, George Norman PA-C,MS,BA,BS,MPA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Dec 18th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710022827 NPPES
Florida MEDICAID 290446200
Florida Other 97275

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