Shoreline Medical Group, P.A.

LBN: Shoreline Medical Group, P.A.
Shoreline Medical Group, P.A. is an health care organization with primary practice located at 419 Baltzell Ave , Port St Joe FL 32456. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Shoreline Medical Group, P.A. can be contacted via phone (850) 229-8010, or through Curry, Thomas L via phone (850) 229-8010.

Contact Information

Primary practice address
419 Baltzell Ave Port St Joe FL 32456
Phone: (850) 229-8010
Fax: (850) 227-3177
Website:
Map and Directions
Authorized official contact:
Name: Curry, Thomas L Doctor of Medicine (MD)
Phone: (850) 229-8010

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1427160571
LBN Legal business name Shoreline Medical Group, P.A.
DBA Doing business as
Authorized official Curry, Thomas L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427160571 NPPES
Florida Other 377827401 MEDICAID RHC
Florida Other 10-3887 MEDICAID RHC
Florida MEDICAID 377827400 MEDICAID RHC

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