Surfside Family Practice LLC
NPI #1780872705 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1780872705
- Entity Type
- Organization
- Organization Name
- Surfside Family Practice LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 4, 2007
- Last Updated
- Apr 22, 2008
Practice Location
- Address
- 3000 N ATLANTIC AVE
- Address 2
- SUITE 108
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-5078
- Phone
- (321) 799-2554
Authorized Official
- Name
- HARRY ALLEN EARLE, M.D.
- Title
- DOCTOR
- Phone
- (321) 799-2554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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