SURFSIDE FAMILY MEDICINE LLC
NPI 1801028246
Clinic/Center - Primary Care in Cocoa Beach, FL

Q: What is Surfside Family Medicine LLC's NPI number?

The NPI number for Surfside Family Medicine LLC is 1801028246. It was assigned to this organization in the NPPES registry on August 19, 2009.

Q: What is Surfside Family Medicine LLC's specialty?

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

Active since August 19, 2009

3000 N ATLANTIC AVE STE 108, COCOA BEACH, FL 32931(321) 799-2554(321) 799-4750 Get Directions Write a Review

NPPES record last updated: August 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Surfside Family Medicine Llc NPPES

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

SURFSIDE FAMILY MEDICINE LLC (NPI 1801028246) is a healthcare organization registered as a primary care in Cocoa Beach, Florida and active in the NPI registry since August 2009. The organization lists Olga Dorjima Emgushov, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1801028246

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSURFSIDE FAMILY MEDICINE LLC

Location Address3000 N ATLANTIC AVE STE 108Cocoa Beach, FL 32931-5029

Mailing Address3000 N Atlantic Ave Ste 108Cocoa Beach, FL 32931-5029 · (321) 799-2554 · Fax (321) 799-4750

Phone(321) 799-2554

Fax(321) 799-4750

Organization SubpartNo

Authorized OfficialOlga Dorjima EmgushovOwner/physician · (321) 799-2554

Enumeration DateAugust 19, 2009

✔ NPI 1801028246 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 · ME94076

3000 N ATLANTIC AVE STE 108, Cocoa Beach, FL 32931

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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 Medicine LLC's NPI number?

The NPI number for Surfside Family Medicine LLC is 1801028246. It was assigned to this organization in the NPPES registry on August 19, 2009.

Where is Surfside Family Medicine LLC located?

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

What is Surfside Family Medicine 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 Medicine LLC was last updated on August 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.