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Organization
PRN OF NW FLORIDA INC
Active
Organization
PRN OF NW FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C CHANEY JR. ARNP (OWNER)
(850) 916-0788
Entity
Organization
Contact information
Practice address
2 SUGAR BOWL LANE, PENSACOLA, FL 32561
(850) 723-6271
(850) 916-0788
Mailing address
P.O. BOX 244, GONZELEZ, FL 32560
(850) 723-6271
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
ARNP 2210632
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2210632
FL
Other
Enumeration date
12/11/2006
Last updated
06/25/2014
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