NPI 1851762991 · live from the CMS NPI Registry
30a Medical Incorporated
Family Medicine in Santa Rosa Beach, FL. National Provider Identifier 1851762991, active.
NPI record
| NPI | 1851762991 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4164 W County Highway 30a, Santa Rosa Beach, FL 32459 |
| Practice phone | 850-622-2313 |
| Enumerated | October 15, 2015 |
| Last updated | June 30, 2017 |
| Authorized official | Scott Thurston, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.