Organization
GULF COAST IMMEDIATE CARE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT V SIEGEL M.D. (MEDICAL DIRECTOR/OWNER)
(850) 244-3211
Entity
Organization
Contact information
Practice address
345 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL 32548-5210
(850) 244-3211
(850) 243-1992
Mailing address
345 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL 32548-5210
(850) 244-3211
(850) 243-1992
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0602460
FL
Other
Enumeration date
04/12/2006
Last updated
08/22/2020
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