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Organization
PEA RIDGE FAMILY CARE CENTER INC
Active
Organization
PEA RIDGE FAMILY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURUSHOTTAM K. GARG MD (OWNER)
(850) 995-8811
Entity
Organization
Contact information
Practice address
5553 HIGHWAY 90, PACE, FL 32571-1540
(850) 995-8811
(850) 995-8810
Mailing address
5500 N DAVIS HWY STE 2, PENSACOLA, FL 32503-2063
(850) 475-0867
(850) 475-0895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/31/2026
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