| Aids Healthcare Foundation | |
|
4300 Bayou Blvd Ste 17d Pensacola FL 32503-2671 | |
| (850) 472-0962 | |
| Not Available |
| Full Name | Aids Healthcare Foundation |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4300 Bayou Blvd Ste 17d, Pensacola, Florida |
| Authorized Official Name and Position | Donna M Stidham (CHIEF OF MANAGED CARE) |
| Authorized Official Contact | 3238605025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aids Healthcare Foundation 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: (323) 860-5200 | Aids Healthcare Foundation 4300 Bayou Blvd Ste 17d Pensacola FL 32503-2671 Ph: (850) 472-0962 |
| NPI Number | 1972759611 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 09/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972759611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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