Dr. Kane'S Beachside Family Practice, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR. KANE'S BEACHSIDE FAMILY PRACTICE, INC

Practice address

1186 Highway A1A
Satellite Beach, FL 32937-2479

Phone

(321) 779-3370

Fax

(321) 779-3525

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maile N.a. Kane, D.O

Title

President

Phone

(321) 779-3370

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407902836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372479",
            "telephone_number": "321-779-3370",
            "fax_number": "321-779-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372479",
            "telephone_number": "321-779-3370",
            "fax_number": "321-779-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KANE'S BEACHSIDE FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "MAILE",
        "authorized_official_middle_name": "N.A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-779-3370",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Dent, DDS, MS
• Brian Dery, PHARM. D
• Amber Dickson
• Dr Woods Psychology
• Dr. Courtney Knoblauch, PT, DPT, LLC.
• Colleen Easterlin
• James V Eaton, LMHC
• Barbara Ann Edwards, APRN
• Kehinde Ekwotafia
• Courtney Eliott, MA42392

• Family Medicine Physician in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.