| Gulf Coast Infectious Disease | |
|
2120 E Johnson Ave Ste 105 Pensacola FL 32514-6091 | |
| (850) 549-4755 | |
| (850) 549-4760 |
| Full Name | Gulf Coast Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2120 E Johnson Ave Ste 105, Pensacola, Florida |
| Authorized Official Name and Position | Amanda Marie Alvarado (OFFICE MANAGER) |
| Authorized Official Contact | 8505494755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Infectious Disease 2120 E Johnson Ave Ste 105 Pensacola FL 32514-6091 Ph: (850) 549-4755 | Gulf Coast Infectious Disease 2120 E Johnson Ave Ste 105 Pensacola FL 32514-6091 Ph: (850) 549-4755 |
| NPI Number | 1265992200 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265992200 | NPI | - | NPPES |
| 1538644257 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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