Commons Drive Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME76868 Issued in FL

Legal business name

COMMONS DRIVE FAMILY MEDICINE, LLC

Practice address

4012 Commons Dr W Ste 112
Destin, FL 32541-8424

Phone

(850) 650-2600

Fax

(206) 338-2314

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Andre Abelly, M.D.

Title

Sole MBR

Phone

(850) 650-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1689935926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325400635",
            "telephone_number": "850-650-2600",
            "fax_number": "206-338-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 COMMONS DR W STE 112",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418424",
            "telephone_number": "850-650-2600",
            "fax_number": "206-338-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONS DRIVE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "ABELLY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "850-650-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Vascular and Interventional PLLC
• Coastal Vascular and Interventional PLLC
• Johannes Hendrik Coetzee, MD, MPH
• Comfortable Care Dental Health Professionals, P.a. (The Center for Cosmetic and Family Dentistry - Destin)
• Commons Drive Family Medicine
• Compass Physical Therapy
• Christine Clare Condit
• Richard E Corley, D.D.S
• Shayann Crabtree
• Emerson Kathleen Crawford, AUD-CCC.A

• Family Medicine Physician in Destin, FL
• Providers in Destin, 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 Jun 4, 2012; 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.