SHORESIDE MEDICAL CENTER LLC – NPI #1518371996
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

SHORESIDE MEDICAL CENTER LLC is a provider located in NEW SMYRNA BEACH, FL. NPPES has assigned the NPI number 1518371996 to SHORESIDE MEDICAL CENTER LLC on June 13, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHORESIDE MEDICAL CENTER LLC below.

NPI Profile for
SHORESIDE MEDICAL CENTER LLC

NPI Number
1518371996
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHORESIDE MEDICAL CENTER LLC
Primary location
419 EAST THIRD AVE
NEW SMYRNA BEACH, FL 32169
Phone: (386) 957-3800 Fax: (386) 426-5939
Mailing address
449 ROCKEFELLER DR
NEW SMYRNA, FL 32168-8937
Phone: (386) 957-3800 Fax: (386) 426-5939
Organization Subpart
No
Authorized Official
TRACI POSTELL
CEO
Phone: (386) 316-4111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 FL OS8699

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.