Individual
MARY F HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 434-4011
Mailing address
1418 RUM STILL CIR, NICEVILLE, FL 32578-1661
(850) 586-4279
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
ME0084276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265122000
—
FL
Enumeration date
12/15/2005
Last updated
08/03/2016
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