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Organization

TRACEY E PINKSTON, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACEY E PINKSTON M.D. (PRESIDENT/OWNER)
(850) 473-1008
Entity
Organization

Contact information

Practice address
4300 BAYOU BLVD, SUITE 5, PENSACOLA, FL 32503-1949
(850) 473-1008
(850) 473-1009
Mailing address
4300 BAYOU BLVD, SUITE 5, PENSACOLA, FL 32503-1949
(850) 473-1008
(850) 473-1009

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7432
FL

Other

Enumeration date
05/19/2009
Last updated
05/19/2009
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