| Emerald Coast Pediatric Primary Care, Inc | |
|
5192 Bayou Blvd Pensacola FL 32503-2102 | |
| (850) 484-5040 | |
| (850) 475-5527 |
| Full Name | Emerald Coast Pediatric Primary Care, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5192 Bayou Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Cathleen M. Farroll (ADMINISTRATOR) |
| Authorized Official Contact | 8504845040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Pediatric Primary Care, Inc 5192 Bayou Blvd Pensacola FL 32503-2102 Ph: (850) 484-5040 | Emerald Coast Pediatric Primary Care, Inc 5192 Bayou Blvd Pensacola FL 32503-2102 Ph: (850) 484-5040 |
| NPI Number | 1912979519 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912979519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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