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SEABREEZE MEDICAL PA
NPI 1487172094
Internal Medicine in Neptune Beach, FL

Active since September 03, 2017CLIA 10D2136894 · Waiver
320 3RD ST STE B, NEPTUNE BEACH, FL 32266(904) 699-2620 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Seabreeze Medical Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEABREEZE MEDICAL PA (NPI 1487172094) is a healthcare organization registered as an internal medicine in Neptune Beach, Florida and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Deborah Ghandour, Co-president, as its authorized official.

NPPES Registry Identity

NPI1487172094
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSEABREEZE MEDICAL PA
Location Address320 3RD ST STE BNeptune Beach, FL 32266
Mailing Address320 3rd St Ste BNeptune Beach, FL 32266
Phone(904) 699-2620
Organization SubpartNo
Authorized OfficialDeborah GhandourCo-president · (904) 853-6143
Enumeration DateSeptember 3, 2017
Last NPPES UpdateApril 2, 2018
✔ NPI 1487172094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME9103
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
320 3RD ST STE B, Neptune Beach, FL 32266
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2136894

Seabreeze Medical, PA · Neptune Beach, FL
Active · expires Sep 17, 2027
CLIA Number10D2136894
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorDeborah L. Ghandour
Laboratory Phone(904) 699-2620
Laboratory LocationSeabreeze Medical, PA320 3rd Street Ste B, Neptune Beach, FL 32266
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seabreeze Medical PA's NPI number?

The NPI number for Seabreeze Medical PA is 1487172094. It was assigned to this organization in the NPPES registry on September 3, 2017.

Where is Seabreeze Medical PA located?

Seabreeze Medical PA is located at 320 3rd St Ste B, Neptune Beach, FL 32266. The listed phone number is (904) 699-2620.

What is Seabreeze Medical PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Seabreeze Medical PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2136894) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Seabreeze Medical PA accept?

Health plans from Molina Healthcare list Seabreeze Medical PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seabreeze Medical PA was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.