Organization
GULF COAST INFECTIOUS DISEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA MARIE ALVARADO (OFFICE MANAGER)
(850) 549-4755
Entity
Organization
Contact information
Practice address
2120 E JOHNSON AVE STE 105, PENSACOLA, FL 32514-6091
(850) 549-4755
(850) 549-4760
Mailing address
2120 E JOHNSON AVE STE 105, PENSACOLA, FL 32514-6091
(850) 549-4755
(850) 549-4760
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538644257
—
FL
Enumeration date
03/25/2019
Last updated
11/27/2023
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