PALM HARBOR FAMILY PRACTICE AND WALK IN CLINIC PA (NPI# 1831311810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831311810 |
| Entity Type | Organization |
| Organization Name | PALM HARBOR FAMILY PRACTICE AND WALK IN CLINIC PA |
| Practice Address |
9 Pine Cone Dr Suite 102 Palm Coast FL 32137-8686 |
| Practice Telephone | 3864456191 |
| Mailing Telephone | 3864456191 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | SEETA FRUEHAN (OFFICE MANAGER) |
| Authorized Official Telephone | 3864456191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
9 PINE CONE DR SUITE 102 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284439 | Matthew Dorman | Family Medicine | 9 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8686 | 2005-06-09 |
| 1750858197 | Besnik Mecaj | Physician Assistant | 9 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8683 | 2018-10-24 |
| 1003267980 | Advantacare of Florida, LLC | Pain Medicine | 9 Pine Cone Dr, Ste 104a, Palm Coast, FL 32137-8686 | 2016-06-22 |
| 1043674187 | Advantacare Multi-specialty Group, LLC | Physical Medicine & Rehabilitation | 9 Pine Cone Dr, Suite 104a, Palm Coast, FL 32137-8686 | 2016-04-05 |
| 1629481221 | Atlantic Dental Arts LLC | Dentist | 9 Pine Cone Dr, Suite 106a, Palm Coast, FL 32137-8686 | 2014-06-11 |
| 1366730293 | Stephanie Elaine Crandall | Physical Therapist | 9 Pine Cone Dr, # 104b, Palm Coast, FL 32137-8686 | 2011-07-12 |
| 1962637496 | Palm Coast Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 9 Pine Cone Dr, Suite 109, Palm Coast, FL 32137-8686 | 2009-05-28 |
| 1265694046 | Marilyn Lindsley Cortes | Physical Therapist | 9 Pine Cone Dr, #104b, Palm Coast, FL 32137-8686 | 2008-07-02 |
| 1184847485 | Margaret Davis | Occupational Therapist | 9 Pine Cone Dr, Palm Coast, FL 32137-8686 | 2007-04-11 |
| 1225157530 | Tamra Fleming | Speech-Language Pathologist | 9 Pine Cone Dr, Suite 104b, Palm Coast, FL 32137-8686 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508002395 | Yesenia E Justiniano Rosario | General Practice | 2 Mccormick Dr, Palm Coast, FL 32164-2352 | 2008-12-28 |
| 1629032974 | Jerry L Waikins | General Practice | 120 Cypress Edge Dr Ste 102, Palm Coast, FL 32164-8454 | 2006-04-13 |
| 1780645903 | Alex Ramon Taveras-cruz | General Practice | 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137-8217 | 2006-03-29 |
| 1053762740 | Coastal Healthcare Partners, LLC | General Practice | 50 Leanni Way, Suite D1, Palm Coast, FL 32137 | 2016-06-24 |
| 1225131477 | Ardent Family Care Pa | General Practice | 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164-2324 | 2006-09-06 |
| 1124039409 | Rommelle Von Such | General Practice | 1 Florida Park Dr N, Suite 109-110, Palm Coast, FL 32137-3852 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on PALM HARBOR FAMILY PRACTICE AND WALK IN CLINIC PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.