# ACCESS CARE FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1942765292
- **Authorized official:** TIMOTHY WILABY (CLINICD ADMINISTRATOR)
- **Authorized official phone:** (850) 912-6588

## Contact information

- **Practice address:** 6705 PINE FOREST RD STE 505, PENSACOLA, FL 32526-6911
- **Practice address phone:** (850) 912-6588
- **Practice address fax:** (850) 912-6598
- **Mailing address:** 3344 WASATCH RANGE LOOP, PENSACOLA, FL 32526-2060
- **Mailing address phone:** (850) 512-5600
- **Mailing address fax:** (850) 912-6598

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 01/31/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009XM | BCBS | — |