Organization
ASCENSION SACRED HEART GULF
Active
Other names
SHMGG Port St. Joe Ortho
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HEMM (ENROLLMENT MANAGER)
(850) 229-5792
Entity
Organization
Contact information
Practice address
3871 E HIGHWAY 98 STE 202, PORT ST JOE, FL 32456-5302
(850) 229-5792
(850) 229-5789
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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