Palafox Primary Care | |
1400 N Palafox St Pensacola FL 32501-2643 | |
(850) 444-9449 | |
(850) 390-4933 |
Full Name | Palafox Primary Care |
---|---|
Speciality | Clinic/Center |
Location | 1400 N Palafox St, Pensacola, Florida |
Authorized Official Name and Position | Chandra Smiley (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8504364630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Palafox Primary Care 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Palafox Primary Care 1400 N Palafox St Pensacola FL 32501-2643 Ph: (850) 444-9449 |
NPI Number | 1497020549 |
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Provider Enumeration Date | 03/21/2012 |
Last Update Date | 08/30/2023 |
Medicare PECOS PAC ID | 9638165806 |
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Medicare Enrollment ID | O20160301001101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497020549 | NPI | - | NPPES |
692990728 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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