Mary P Colvin
AUSTRALIAN LUNGFISH SURGICAL SPECIALISTS LLC


Address: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Phone: 3178054640

Mary P Colvin (NPI# 1588838353, PAC ID# 0042492126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1588838353
PAC ID by PECOS 0042492126
Professional Enrollment ID I20160726001067
Full Name Mary P Colvin
Organization Legal Name AUSTRALIAN LUNGFISH SURGICAL SPECIALISTS LLC
Address 1000 Mar Walt Dr
Fort Walton Beach
FL 32547-6708
Phone Number 3178054640
Gender F
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1998
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 4183940877
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100223 FORT WALTON BEACH MEDICAL CENTER

Other Locations

Address Phone Organization
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 3178054640 AUSTRALIAN LUNGFISH SURGICAL SPECIALISTS LLC

Organization Information

Organization Legal Name AUSTRALIAN LUNGFISH SURGICAL SPECIALISTS LLC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Jamison E Gaddy Physician Assistant Australian Lungfish Surgical Specialists LLC 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Megan Kayla Renner Physician Assistant Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Andrew Mikulaschek General Surgery Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Patrick T Mcgraw General Surgery Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Jason Dumrongkulraksa Physician Assistant Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Derek Robinson Physician Assistant Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Rachel Houck Nurse Practitioner Australian Lungfish Surgical Specialists LLC 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Kevin Beall Physician Assistant Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Robert Lowry Nurse Practitioner Australian Lungfish Surgical Specialists LLC 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Cathy V Ho General Surgery Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708

Office Location

Street Address 1000 MAR WALT DR
City FORT WALTON BEACH
State FL
Zip 32547-6708

Physicians in the same location

Name Specialty Organization Address
Gary David Wright Emergency Medicine Thomasville Emergency Physicians LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Pamela S Buckallew Nurse Practitioner Fl-i Medical Services LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Timothy A Rak Emergency Medicine Thomasville Emergency Physicians LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Sean E Thompson Certified Registered Nurse Anesthetist (crna) Anesthesia Physician Solutions of North Florida LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Cathleen C Hoffman Nurse Practitioner Fl-i Medical Services LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Anne Marie Crow Nurse Practitioner Fl-i Medical Services LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Yvonne M Browning Certified Registered Nurse Anesthetist (crna) Anesthesia Physician Solutions of North Florida LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Troy Saline Emergency Medicine Thomasville Emergency Physicians LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
John E Fortenberry Emergency Medicine Thomasville Emergency Physicians LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Megan Kayla Renner Physician Assistant Australian Lungfish Surgical Specialists LLC 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
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Physicians in the same zip code

Name Specialty Organization Address
Morris E Gales Iii General Surgery Florida Post Acute Care Clinicians LLC 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163
John D Sites Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Teresa Marie Skojac Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Peter Kerr Senechal Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Chris George Pappas Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Christopher P Paulson Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Susan T Ott Nurse Practitioner Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Brandy Marie Lackey Nurse Practitioner Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Grant Eugene Zachary Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Jamison E Gaddy Physician Assistant Australian Lungfish Surgical Specialists LLC 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Find all physicians in zip 32547

Competitor

Search similar physicians

City FORT WALTON BEACH
Zip Code 32547
Specialty GENERAL SURGERY
City + Specialty FORT WALTON BEACH + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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