Organization
BIG BEND HOSPICE, INC.
Active
Other names
Big Bend Hospice, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAM GIBSON (EXECUTIVE ASSISTANCE / BOARD LIAISO)
(850) 878-5310
Entity
Organization
Contact information
Practice address
1723 MAHAN CENTER BLVD, TALLAHASSEE, FL 32308-5428
(702) 960-2272
Mailing address
1723 MAHAN CENTER BLVD, TALLAHASSEE, FL 32308-5428
(702) 960-2272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087524400
—
FL
05
—
087524401
—
FL
Enumeration date
04/27/2021
Last updated
04/27/2021
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