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Organization
WEST FLORIDA MEDICAL CENTER CLINIC, PA
Active
Organization
WEST FLORIDA MEDICAL CENTER CLINIC, PA
Active
Other names
Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL ANDY POPPLE JR. (EXECUTIVE VP)
(850) 474-8724
Entity
Organization
Contact information
Practice address
8333 NORTH DAVIS HIGHWAY, PENSACOLA, FL 32514-6050
(850) 474-8000
(850) 474-8275
Mailing address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8100
(850) 474-8083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891148700
—
FL
01
—
Y906K
BSFL GROUP
—
Enumeration date
05/22/2006
Last updated
05/21/2014
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