Organization
BEACH MEDICAL EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA PULLEN PA-C (OWNER/DIRECTOR)
(850) 588-5689
Entity
Organization
Contact information
Practice address
108 CAPE CIR, PANAMA CITY BEACH, FL 32413-5206
(850) 532-3430
Mailing address
9952 HUTCHISON BLVD, PANAMA CITY BEACH, FL 32407
(850) 588-5689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA 9104277
FL
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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