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Organization

GULF COAST PODIATRY OF NORTHWEST FLORIDA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH E KIEFER D.P.M. (OWNER)
(850) 434-9867
Entity
Organization

Contact information

Practice address
1851 N 9TH AVE., PENSACOLA, FL 32503-4535
(850) 434-9867
(850) 434-9878
Mailing address
1851 N 9TH AVE., PENSACOLA, FL 32503-4535
(850) 434-9867
(850) 434-9878

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1874
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65020
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/17/2007
Last updated
04/20/2008
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