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Organization
GULF COAST MOBILE MEDICAL CARE LLC
Active
Organization
GULF COAST MOBILE MEDICAL CARE LLC
Active
Other names
Gulf Coast Mobile Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE WALLSTEDT (PARTNER)
(615) 517-6009
Entity
Organization
Contact information
Practice address
471 FORT PICKENS RD, PENSACOLA BEACH, FL 32561-2013
(850) 462-3131
(877) 370-4373
Mailing address
471 FORT PICKENS RD, GULF BREEZE, FL 32561-2013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
02/23/2023
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