Surfside Family Medicine LLC
NPI #1801028246 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1801028246
- Entity Type
- Organization
- Organization Name
- Surfside Family Medicine LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 19, 2009
- Last Updated
- Aug 19, 2009
Practice Location
- Address
- 3000 N ATLANTIC AVE STE 108
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-5029
- Phone
- (321) 799-2554
Authorized Official
- Name
- DR. OLGA DORJIMA EMGUSHOV, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (321) 799-2554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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