| Gulf Coast Holistic And Primary Care Inc | |
|
756 Harrison Ave Panama City FL 32401-2524 | |
| (850) 640-1530 | |
| (850) 640-1630 |
| Full Name | Gulf Coast Holistic And Primary Care Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 756 Harrison Ave, Panama City, Florida |
| Authorized Official Name and Position | Raquel Skidmore (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8506401530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Holistic And Primary Care Inc 756 Harrison Ave Panama City FL 32401-2524 Ph: (850) 640-1530 | Gulf Coast Holistic And Primary Care Inc 756 Harrison Ave Panama City FL 32401-2524 Ph: (850) 640-1530 |
| NPI Number | 1205240363 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205240363 | NPI | - | NPPES |
| 006732100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ACN244 (Florida) | Primary |
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