| |
55 Avenue 'e' Apalachicola FL 32320-1763 | |
(850) 370-1000 | |
(850) 370-1006 |
Full Name | |
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Speciality | Clinic/Center |
Location | 55 Avenue 'e', Apalachicola, Florida |
Authorized Official Name and Position | Miranda Hemm (ENROLLMENT MANAGER) |
Authorized Official Contact | 9044506004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2699 Pensacola FL 32513-2699 Ph: (850) 475-4686 | 55 Avenue 'e' Apalachicola FL 32320-1763 Ph: (850) 370-1000 |
NPI Number | 1982963344 |
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Provider Enumeration Date | 05/04/2012 |
Last Update Date | 03/19/2021 |
Medicare PECOS PAC ID | 9830231034 |
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Medicare Enrollment ID | O20120716000479 |
Identifier | Type | State | Issuer |
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1982963344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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