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Organization
SEABREEZE MEDICAL PA
Active
Organization
SEABREEZE MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GHANDOUR PA-C (CO-PRESIDENT)
(904) 853-6143
Entity
Organization
Contact information
Practice address
320 3RD ST STE B, NEPTUNE BEACH, FL 32266
(904) 699-2620
Mailing address
320 3RD ST STE B, NEPTUNE BEACH, FL 32266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME9103
FL
Other
Enumeration date
09/03/2017
Last updated
04/02/2018
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