# SACRED HEART MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHMG Maternal Fetal Medicine at Pensacola
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750058319
- **Authorized official:** JEAN VALLIER (DIRECTOR)
- **Authorized official phone:** (850) 416-2477

## Contact information

- **Practice address:** 5153 N 9TH AVE STE 201, PENSACOLA, FL 32504-5719
- **Practice address phone:** (850) 416-2477
- **Mailing address:** 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2021
- **Last updated:** 08/23/2021