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GULF SHORES FAMILY MEDICINE NPI 1205983731


NPI Information

NPI: 1205983731
Provider Name: GULF SHORES FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
204 W 19TH AVE
GULF SHORES, AL
ZIP 36542
Phone: (251) 968-1810
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GULF SHORES FAMILY MEDICINE is a family medicine in Gulf Shores, AL. 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. GULF SHORES FAMILY MEDICINE NPI is 1205983731. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

204 W 19TH AVE
GULF SHORES, AL
ZIP 36542
Phone: (251) 968-1810
Fax: (251) 968-1817

The provider's authorized official is Marirose C. Olson .
The authorized official title is President and has the following contact phone number (251) 968-1810.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 4/2/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207Q00000XFamily Medicine23373ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19940808MEDICAIDALABAMA
2H25661MEDICARE UPIN
351538515MEDICARE PIN

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: 4/28/2024

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