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Organization
ASCENSION SACRED HEART GULF
Active
Organization
ASCENSION SACRED HEART GULF
Active
Other names
SHMGG Port St. Joe Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HEMM (ENROLLMENT MANAGER)
(850) 229-5792
Entity
Organization
Contact information
Practice address
3871 E HIGHWAY 98 STE 202, PORT ST JOE, FL 32456-5302
(850) 229-5792
(850) 229-5789
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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