Organization
WEST FLORIDA MEDICAL CENTER CLINIC, PA
Active
Organization
WEST FLORIDA MEDICAL CENTER CLINIC, PA
Active
Other names
Medical Center Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE HARRELSON (CAO)
(850) 474-8664
Entity
Organization
Contact information
Practice address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 474-8000
(850) 474-8275
Mailing address
8333 N DAVIS HWY, PENSACOLA, FL 32514-6050
(850) 478-8100
(850) 474-8083
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000810075
—
AL
01
—
00147
BLUE SHIELD
FL
05
—
060060100
—
FL
01
—
CJ0195
RAILROAD MEDICARE
—
Enumeration date
10/28/2005
Last updated
04/30/2026
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