Individual
ALICE SZYMANSKI BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
543 FONTAINE ST STE B, PENSACOLA, FL 32503-2058
(850) 474-0155
Mailing address
1112 MALDONADO DR, PENSACOLA BEACH, FL 32561-2242
(850) 207-7527
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1062162
FL
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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