| Pea Ridge Family Care Center Inc | |
|
5500 N Davis Hwy Ste 2 Pensacola FL 32503-2063 | |
| (850) 475-0867 | |
| (850) 475-0895 |
| Full Name | Pea Ridge Family Care Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5500 N Davis Hwy Ste 2, Pensacola, Florida |
| Authorized Official Name and Position | Purushottam K. Garg (OWNER) |
| Authorized Official Contact | 8509958811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pea Ridge Family Care Center Inc 5553 Highway 90 Pace FL 32571-1540 Ph: (850) 995-8811 | Pea Ridge Family Care Center Inc 5500 N Davis Hwy Ste 2 Pensacola FL 32503-2063 Ph: (850) 475-0867 |
| NPI Number | 1013587955 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013587955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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