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Organization
INTERVALCARE MEDICAL SERVICES
Active
Organization
INTERVALCARE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANYTA HICKS-WILLIAMS AGNP, PMHNP (CEO/OWNER)
(850) 356-0831
Entity
Organization
Contact information
Practice address
3601 PEBBLE LN, MILTON, FL 32583-2301
(850) 356-0831
Mailing address
PO BOX 1132, PENSACOLA, FL 32591-1132
(850) 356-0831
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/27/2020
Last updated
12/03/2024
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