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14114 Alabama St Jay FL 32565-1219 | |
| (850) 444-4700 | |
| (850) 434-8144 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 14114 Alabama St, Jay, Florida |
| Authorized Official Name and Position | Justin Dansby (CFO) |
| Authorized Official Contact | 8504447000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 11037 Pensacola FL 32524-1037 Ph: (850) 444-4700 | 14114 Alabama St Jay FL 32565-1219 Ph: (850) 444-4700 |
| NPI Number | 1023051083 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023051083 | NPI | - | NPPES |
| 0358 | Other | FL | MED3000/HEALTH 1ST NETWOR |
| 256870500 | Medicaid | FL | |
| 256870504 | Medicaid | FL | |
| 256870505 | Medicaid | FL | |
| 256870508 | Medicaid | FL | |
| CF9776 | Other | RR MEDICARE | |
| 256870501 | Medicaid | FL | |
| 256870503 | Medicaid | FL | |
| 99659 | Other | FL | BCBS OF FLORIDA |
| 256870506 | Medicaid | FL | |
| 256870507 | Medicaid | FL | |
| 529904030 | Medicaid | AL | |
| 256870502 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Gastroenterology Associates Of Pensacola Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14114 Alabama St, Jay, FL 32565 Phone: 850-436-4563 Fax: 850-436-4570 | |
Jeffery S Kelley Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14088 Alabama St, Jay, FL 32565 Phone: 850-675-4546 Fax: 850-675-4548 | |
Gastroenterology Associates Of Pensacola Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14122 Alabama St., Jay, FL 32565 Phone: 850-436-4563 |