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Organization
WEST FLORIDA INTERNAL MEDICINE LLC
Active
Organization
WEST FLORIDA INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISSA MCCARTHY (OFFICE MANAGER)
(850) 494-3218
Entity
Organization
Contact information
Practice address
2120 E JOHNSON AVE, PENSACOLA, FL 32514-6028
(850) 494-3218
(866) 390-1343
Mailing address
2120 E JOHNSON AVE, PENSACOLA, FL 32514-6028
(850) 494-3218
(866) 390-1343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276659100
—
FL
Enumeration date
11/15/2005
Last updated
02/08/2012
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