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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