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Organization

COMMUNITY HEALTH OF MELBOURNE BEACH LLC

Active
Parent organization
COMMUNITY HEALTH OF TALLAHASSEE
Other names
Surfside Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY HEALTH OF TALLAHASSEE
Authorized official
DR. CAROLYN PAIGE FELTUS-ATKINSON MD (PEDIATRICIAN)
(321) 821-4882
Entity
Organization

Contact information

Practice address
325 5TH AVE, SUITE 203, INDIALANTIC, FL 32903-4273
(321) 821-4882
(321) 821-4890
Mailing address
325 5TH AVE, SUITE 203, INDIALANTIC, FL 32903-4273
(321) 821-4882
(321) 821-4890

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME54282
FL

Other

Enumeration date
09/11/2013
Last updated
09/11/2013
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