Organization
PRIMARY CARE OF THE GULF COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODILYN GRACE HOLZ NP (OWNER)
(850) 254-4530
Entity
Organization
Contact information
Practice address
600 UNIVERSITY OFFICE BLVD STE 13A, PENSACOLA, FL 32504-6247
(850) 254-4530
(850) 366-9755
Mailing address
600 UNIVERSITY OFFICE BLVD STE 13A, PENSACOLA, FL 32504-6247
(850) 254-4530
(850) 366-9755
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
07/06/2026
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