Organization
EAST HILL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA BOSWELL (BILLING MANAGER)
(251) 943-9954
Entity
Organization
Contact information
Practice address
99 S ALCANIZ ST STE B, PENSACOLA, FL 32502-8002
(850) 437-0035
(850) 429-0005
Mailing address
99 S ALCANIZ ST, SUITE B, PENSACOLA, FL 32502-8002
(850) 437-0035
(850) 429-0005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH 10642
FL
208000000X
Pediatrics Physician
Primary
ME80025
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740285006
—
FL
Enumeration date
12/30/2016
Last updated
12/30/2016
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