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Organization

SACRED HEART MEDICAL GRP AT DESTIN

Active
Other names
SHMG Emerald Coast Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAN FOLEY (ENROLLMENT SPECIALIST)
(850) 475-4620
Entity
Organization

Contact information

Practice address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 475-4500
(850) 475-4771
Mailing address
PO BOX 2699, HEALTHPLAN ENROLLMENT, PENSACOLA, FL 32513-2699
(850) 475-4620
(850) 416-4619

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
05/12/2006
Last updated
04/11/2012
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