# WEST FLORIDA MEDICAL CENTER CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Center Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386650661
- **Authorized official:** MARSHALL ANDY POPPLE JR. (EXECUTIVE VP)
- **Authorized official phone:** (850) 474-8724

## Contact information

- **Practice address:** 8333 N DAVIS HWY, PENSACOLA, FL 32514
- **Practice address phone:** (850) 474-8000
- **Practice address fax:** (850) 474-8275
- **Mailing address:** 8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
- **Mailing address phone:** (850) 474-8100
- **Mailing address fax:** (850) 474-8083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0416180001 | FL | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2018