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Organization
SACRED HEART MEDICAL GROUP
Active
Organization
SACRED HEART MEDICAL GROUP
Active
Other names
SHMG Ortho Trauma
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN VALLIER (DIRECTOR)
(850) 416-1900
Entity
Organization
Contact information
Practice address
5147 N 9TH AVE STE 103, PENSACOLA, FL 32504-8770
(850) 416-1900
(850) 416-1911
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
09/17/2021
Last updated
09/17/2021
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