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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