Organization
GULF COAST HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RICHARDSON (PRESIDENT)
(850) 430-0000
Entity
Organization
Contact information
Practice address
40 PALAFOX PL STE 400, PENSACOLA, FL 32502-5699
(800) 881-9905
Mailing address
40 PALAFOX PL STE 400, PENSACOLA, FL 32502-5699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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