Organization
PRIMARY CARE OF THE GULF COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODILYN HOLZ NP (MGR)
(850) 341-4151
Entity
Organization
Contact information
Practice address
235 W AIRPORT BLVD, PENSACOLA, FL 32505-2239
(850) 857-5200
(850) 477-2235
Mailing address
7905 HUNTINGTON CREEK LN, PENSACOLA, FL 32526-4470
(850) 341-4151
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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