# PRIMARY CARE OF THE GULF COAST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609497726
- **Authorized official:** JODILYN GRACE HOLZ NP (OWNER)
- **Authorized official phone:** (850) 254-4530

## Contact information

- **Practice address:** 600 UNIVERSITY OFFICE BLVD STE 13A, PENSACOLA, FL 32504-6247
- **Practice address phone:** (850) 254-4530
- **Practice address fax:** (850) 366-9755
- **Mailing address:** 600 UNIVERSITY OFFICE BLVD STE 13A, PENSACOLA, FL 32504-6247
- **Mailing address phone:** (850) 254-4530
- **Mailing address fax:** (850) 366-9755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2020
- **Last updated:** 07/06/2026