Organization · Type 2 NPI

Beachside Pediatric Associates, P.a.

Primary Care Clinic/Center · Niceville, FL

NPI number 1225634462 Active

Practice location

490 Highway 85 N
Niceville, FL 32578-1010

Fax (850) 353-2142

Mailing address

1590 Ruckel Dr
Niceville, FL 32578-1603

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1225634462

Beachside Pediatric Associates, P.a.'s National Provider Identifier is 1225634462, issued on Dec 10, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Niceville, FL. The record was last updated on Jan 21, 2021.