Organization
CARING HEARTS PEDIATRIC EXTENDED CARE CENTER, INC
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
MS. CYNTHIA DENISE CAMERON HEALTH CARE ADMIN (ADMINISTRATOR)
(850) 475-0555
Entity
Organization
Contact information
Practice address
9020 UNIVERSITY PKWY, PENSACOLA, FL 32514-5524
(850) 475-0555
(850) 475-0650
Mailing address
9020 UNIVERSITY PKWY, PENSACOLA, FL 32514-5524
(850) 475-0555
(850) 475-0650
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2278P3900X
Neonatal/Pediatric Certified Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884201900
—
FL
01
—
JJ1
BLUECROSS BLUESHIELD
FL
Enumeration date
02/20/2007
Last updated
04/10/2012
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