Organization
PENSACOLA HOUSE CALLS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN D. BAST PA-C (PRESIDENT)
(850) 377-5268
Entity
Organization
Contact information
Practice address
5040 YESTEROAKS CIR, PENSACOLA, FL 32504-4316
(850) 377-5268
(850) 474-1892
Mailing address
5040 YESTEROAKS CIR, PENSACOLA, FL 32504-4316
(850) 377-5268
(850) 474-1892
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1962
FL
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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