Beachside Pediatric Associates, PA
Beachside Pediatric Associates, PA is a Primary Care Clinic/Center in Niceville, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
490 Highway 85 NNiceville, FL 32578-1010
Phone: (850) 419-2691
Fax: (850) 353-2142
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|
Record details
| NPI number | 1225634462 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clayton Lancaster — Project Manager · (850) 758-8331 |
| NPI enumerated | December 10, 2020 |
| Last updated in NPPES | January 21, 2021 |
| Certification date | January 21, 2021 |
| Mailing address | 1590 Ruckel Dr, Niceville, FL 32578-1603 |
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