Seaside Primary Care & Psychiatry, LLC
Nurse Practitioner, Psych/Mental Health in Navarre, FL. Organization (NPI-2).
Details
- NPI
- 1730704875
- Entity type
- Organization (NPI-2)
- Legal business name
- Seaside Primary Care & Psychiatry, LLC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2020
- Certification date
- Oct 10, 2022
- Last updated
- Oct 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- Seaside Wellness Of Navarre (Doing Business As)
Practice location
1931 Ortega StNavarre, FL 32566-4111
Phone 850-684-1410 · Fax 833-989-0937
Mailing address
9670 Meadow Wood LnNavarre, FL 32566-2876
Authorized official
Angela Sanders
Owner/Nurse Practitioner
8506841410
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Navarre, FL
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- Adare Morell, ARNPNPI 1790142602
- Angela D Sanders, APRN, DNPNPI 1225396294
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All 8 Psychiatric/Mental Health Nurse Practitioner providers in Navarre · All 660 providers in Navarre
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