Organization

Beachside Pediatric Therapy Inc

Clinic/Center in Indian Harbour Beach, FL(View on Map)

Legal Business Name

Beachside Pediatric Therapy Inc

NPI Number

1003671736

NPI Type

Organization

Enumeration Date

02/21/2024

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 372084
2040 HIGHWAY A1A STE 203

City

Satellite Beach
Indian Harbour Beach

State

FL
FL

Postal Code

32937-0084
32937-3566

Country

US
US

Telephone Number

(321) 890-7720
(321) 890-7720

Authorized Official

Name

Kimberly Mills

Title or Position

OWNER/PRESIDENT

Telephone Number

(321) 890-7720

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/21/2024

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