# FIRST PHYSICIANS GROUP PA

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

## Provider details

- **NPI number:** 1881674257
- **Authorized official:** KYLIE BAISDEN (CREDENTIALING)
- **Authorized official phone:** (850) 994-5660

## Contact information

- **Practice address:** 3802 HIGHWAY 90, PACE, FL 32571-1014
- **Practice address phone:** (850) 994-5660
- **Practice address fax:** (850) 994-5841
- **Mailing address:** PO BOX 18868, PENSACOLA, FL 32523-8868
- **Mailing address phone:** (850) 994-5660
- **Mailing address fax:** (859) 994-5841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | FL | Yes |

## Other

- **Enumeration date:** 01/20/2006
- **Last updated:** 10/12/2009