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Organization

INFECTIOUS DISEASE GROUP, PA

Active
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Organization

INFECTIOUS DISEASE GROUP, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTIN AUSTIN JR. (OFFICE MANAGER)
(850) 432-3692
Entity
Organization

Contact information

Practice address
5120 BAYOU BLVD STE 11, PENSACOLA, FL 32503-2135
(850) 432-3692
(850) 332-6445
Mailing address
5120 BAYOU BLVD STE 11, PENSACOLA, FL 32503-2135
(850) 432-3692
(850) 432-3692

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
377030300
FL
05
529502140
AL
Enumeration date
11/06/2006
Last updated
08/07/2024
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