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DCDW MEDICAL SERVICES INC NPI 1164761029


NPI Information

NPI: 1164761029
Provider Name: DCDW MEDICAL SERVICES INC

Doing Business As: GULF VIEW MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0937201

Address:
16900 FRONT BEACH RD
PANAMA CITY BEACH, FL
ZIP 32413
Phone: (850) 234-1898
Get Directions

DCDW MEDICAL SERVICES INC is a family medicine in Panama City Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DCDW MEDICAL SERVICES INC NPI is 1164761029. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gulf View Medical.

The provider's business location address is:

16900 FRONT BEACH RD
PANAMA CITY BEACH, FL
ZIP 32413-345
Phone: (850) 234-1898
Fax: (850) 234-7670

The provider's authorized official is Marlen Celenia Moritz .
The authorized official title is Administrator and has the following contact phone number (850) 248-1898.

The CLIA number assigned to this NPI record is 10D0937201 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2013 and was last updated on 9/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeOS0589FLORIDANo
2207Q00000XFamily MedicineOS0589FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1008171000MEDICAIDFLORIDA
20043LOTHERFLORIDAFLORIDA BLUE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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