Organization
SACRED HEART HOSPITAL ON THE EMERALD COAST
Active
Other names
Sacred Heart Medical Group Destin
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN FOLEY (HPE SPECIALIST)
(850) 475-4620
Entity
Organization
Contact information
Practice address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 475-4500
(850) 475-4771
Mailing address
PO BOX 2699, HEALTHPLAN ENROLLMENT, PENSACOLA, FL 32513-2699
(850) 475-4620
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
04/11/2012
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