| Healthstat On-site Clinic | |
|
1678 Airport Blvd Pensacola FL 32504-8618 | |
| (850) 479-3790 | |
| (850) 479-3920 |
| Full Name | Healthstat On-site Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1678 Airport Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Susan Kinzler (EVP SALES & MARKETING) |
| Authorized Official Contact | 7045296161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthstat On-site Clinic 4601 Charlotte Park Dr Suite 390 Charlotte NC 28217-1915 Ph: (704) 529-6161 | Healthstat On-site Clinic 1678 Airport Blvd Pensacola FL 32504-8618 Ph: (850) 479-3790 |
| NPI Number | 1053606988 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053606988 | NPI | - | NPPES |
| 5706657 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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