Organization
SACRED HEART ON THE GULF
Active
Parent organization
SACRED HEART HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED HEART HEALTH SYSTEM
Authorized official
MISS JOSE AURELIO SANTIESTEBAN (REHAB. MANAGER)
(850) 229-5752
Entity
Organization
Contact information
Practice address
3801 E HIGHWAY 98, PORT ST JOE, FL 32456-5318
(850) 229-5752
(850) 227-7999
Mailing address
3801 E HIGHWAY 98, PORT ST JOE, FL 32456-5318
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
PT27432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002012700
—
FL
Enumeration date
02/08/2013
Last updated
02/08/2013
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