Organization
BRANCH MEDICAL CLINIC GULFPORT
Active
Parent organization
NAVAL HOSPITAL PENSACOLA
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HOSPITAL PENSACOLA
Authorized official
WILLIAM M CONDON (DHA FINANCIAL MANAGER)
(240) 401-3643
Entity
Organization
Contact information
Practice address
5502 MARVIN SHIELDS BLVD, GULFPORT, MS 39501
(850) 505-6157
(228) 871-3648
Mailing address
6000 W HWY 98 CODE 08RA, PENSACOLA, FL 32512-0001
(850) 505-6157
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2007
Last updated
03/10/2022
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