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Organization
CMS PENSACOLA
Active
Organization
CMS PENSACOLA
Active
Other names
FL DEPT OF HEALTH CMS PENSACOLA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN DIANE GASTON (PROGRAM ADMINISTRATOR)
(850) 484-5040
Entity
Organization
Contact information
Practice address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5507
Mailing address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5507
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
01/31/2006
Last updated
04/19/2013
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