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Organization

12TH AVENUE HEALTHCARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY STINNETT APRN - FNP (PRESIDENT)
(850) 776-7872
Entity
Organization

Contact information

Practice address
1101 OFFICE WOODS DR, PENSACOLA, FL 32504-5937
(850) 776-7872
(850) 474-9060
Mailing address
9735 N PALAFOX ST, PENSACOLA, FL 32534-1224
(850) 776-7872
(850) 474-9060

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
12/20/2022
Last updated
12/20/2022
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