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Organization

ASCENSION SACRED HEART GULF

Active
Other names
SHMG General Surgery on the Gulf
Organization subpart
No

Provider details

NPI number
Authorized official
MIRANDA HEMM (ENROLLMENT MANAGER)
(850) 229-5833
Entity
Organization

Contact information

Practice address
3871 E HIGHWAY 98, PORT ST JOE, FL 32456-5301
(850) 229-5833
(850) 229-5832
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
09/21/2021
Last updated
09/21/2021
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