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4451 Bayou Blvd Pensacola FL 32503-2601 | |
(850) 475-4500 | |
(850) 475-4771 |
Full Name | |
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Speciality | Internal Medicine - Cardiovascular Disease |
Location | 4451 Bayou Blvd, Pensacola, Florida |
Authorized Official Name and Position | Jan Foley (HPE SPECIALIST) |
Authorized Official Contact | 8504754620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2699 Healthplan Enrollment Pensacola FL 32513-2699 Ph: (850) 475-4620 | 4451 Bayou Blvd Pensacola FL 32503-2601 Ph: (850) 475-4500 |
NPI Number | 1760432900 |
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Provider Enumeration Date | 05/10/2006 |
Last Update Date | 04/11/2012 |
Identifier | Type | State | Issuer |
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1760432900 | NPI | - | NPPES |
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