| Greater Gulf Coast Primary Care | |
|
1921 E Nine Mile Rd Pensacola FL 32514-7747 | |
| (850) 479-4858 | |
| (850) 494-2260 |
| Full Name | Greater Gulf Coast Primary Care |
|---|---|
| Speciality | General Practice |
| Location | 1921 E Nine Mile Rd, Pensacola, Florida |
| Authorized Official Name and Position | Jason K Harvey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504794858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Gulf Coast Primary Care 1921 E Nine Mile Rd Pensacola FL 32514-7747 Ph: (850) 479-4858 | Greater Gulf Coast Primary Care 1921 E Nine Mile Rd Pensacola FL 32514-7747 Ph: (850) 479-4858 |
| NPI Number | 1801109178 |
|---|---|
| Provider Enumeration Date | 07/15/2010 |
| Last Update Date | 07/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801109178 | NPI | - | NPPES |
| 98338 | Other | FL | BCBS |
| 001169200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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