Organization
ASCENSION SACRED HEART GULF
Active
Organization
ASCENSION SACRED HEART GULF
Active
Other names
SHMGG Port St. Joe Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HEMM (MANAGED CARE - MANAGER)
(850) 229-3710
Entity
Organization
Contact information
Practice address
3871 E HIGHWAY 98 STE 201, PORT ST JOE, FL 32456-5302
(850) 229-3710
(850) 229-3712
Mailing address
4205 BELFORT RD STE 40105, JACKSONVILLE, FL 32216-1471
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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