Organization
GULF BREEZE PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P CONRAD MD (OWNER)
(850) 437-9997
Entity
Organization
Contact information
Practice address
1221 EAST DESOTO ST, PENSACOLA, FL 32501
(850) 437-9997
(850) 439-2122
Mailing address
1221 EAST DESOTO ST, PENSACOLA, FL 32501
(850) 437-9997
(850) 439-2122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0055242
FL
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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