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Organization
PRIMARY CARE OF THE GULF COAST LLC
Active
Organization
PRIMARY CARE OF THE GULF COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODILYN GRACE HOLZ NP (OWNER)
(850) 254-4530
Entity
Organization
Contact information
Practice address
600 UNIVERSITY OFFICE BLVD STE 13A, PENSACOLA, FL 32504-6247
(850) 254-4530
(850) 366-9755
Mailing address
600 UNIVERSITY OFFICE BLVD STE 13A, PENSACOLA, FL 32504-6247
(850) 254-4530
(850) 366-9755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
07/06/2026
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