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Organization
BRANCH MEDICAL CLINIC GULFPORT
Active
Organization
BRANCH MEDICAL CLINIC GULFPORT
Active
Parent organization
NAVAL HOSPITAL PENSACOLA
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL PENSACOLA
Authorized official
WILLIAM M CONDON (DHA FINANCIAL MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
5502 MARVIN SHIELDS BLVD, GULFPORT, MS 39501
(850) 505-6157
(228) 871-3648
Mailing address
6000 W HWY 98 CODE 08RA, PENSACOLA, FL 32512-0001
(850) 505-6157
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
03/10/2022
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