Organization
ESCAMBIA COMMUNITY CLINIC INC-LANZA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON TURNER (CEO)
(850) 436-4630
Entity
Organization
Contact information
Practice address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
(850) 436-4630
Mailing address
2200 N PALAFOX ST, PENSACOLA, FL 32501-1723
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
9340197
FL
Other
Enumeration date
07/14/2011
Last updated
04/09/2012
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