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SURFSIDE FAMILY PRACTICE LLC
NPI 1780872705
Clinic/Center - Primary Care in Cocoa Beach, FL

Active since October 04, 2007
3000 N ATLANTIC AVE, SUITE 108, COCOA BEACH, FL 32931(321) 799-2554(321) 799-4750 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surfside Family Practice Llc NPPES

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

SURFSIDE FAMILY PRACTICE LLC (NPI 1780872705) is a healthcare organization registered as a primary care in Cocoa Beach, Florida and active in the NPI registry since October 2007. The organization lists Harry Allen Earle, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780872705
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSURFSIDE FAMILY PRACTICE LLC
Location Address3000 N ATLANTIC AVE, SUITE 108Cocoa Beach, FL 32931-5078
Mailing Address3000 N Atlantic Ave, Suite 108Cocoa Beach, FL 32931-5078 · (321) 799-2554 · Fax (321) 799-4750
Phone(321) 799-2554
Fax(321) 799-4750
Organization SubpartNo
Authorized OfficialHarry Allen EarleDoctor · (321) 799-2554
Enumeration DateOctober 4, 2007
Last NPPES UpdateApril 22, 2008
✔ NPI 1780872705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME00059920
3000 N ATLANTIC AVE, Cocoa Beach, FL 32931
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF14844FL
Medicaid055552599FL
OtherAG997FL · Medicare Ptan

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY WAYNE ROBBEN DDS
Dentist
3000 N ATLANTIC AVE, SUITE 103
COCOA BEACH, FL 32931
Brevard County (321) 784-1300
FAMILY AND PEDIATRIC CLINIC
Counselor
3000 N ATLANTIC AVE, SUITE 102
COCOA BEACH, FL 32931
Brevard County (321) 784-5367
L WAYNE ROBBEN DDS PA
Dentist
3000 N ATLANTIC AVE, SUITE 103
COCOA BEACH, FL 32931
Brevard County (321) 784-1300
MRS. KRISTEN M PENA M.A.
Counselor (Mental Health)
3000 N ATLANTIC AVE, SUITE 102
COCOA BEACH, FL 32931
Brevard County (321) 784-5367
SCOTT D. BUSH PH.D.
Counselor (Mental Health)
3000 N ATLANTIC AVE, SUITE 102
COCOA BEACH, FL 32931
Brevard County (321) 784-5367
DR. CHRISTA ANNE ROBBEN D.C.
Chiropractor
3000 N ATLANTIC AVE, SUITE 105
COCOA BEACH, FL 32931
Brevard County (321) 868-2225

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 Surfside Family Practice LLC's NPI number?

The NPI number for Surfside Family Practice LLC is 1780872705. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Surfside Family Practice LLC located?

Surfside Family Practice LLC is located at 3000 N Atlantic Ave Suite 108, Cocoa Beach, FL 32931. The listed phone number is (321) 799-2554.

What is Surfside Family Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Surfside Family Practice LLC was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.