Organization
FLORIDA STATE UNIVERSITY, PEDIATRIC RESIDENCY AT SACRED HEART HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS FITTS (RESIDENCY COORDINATOR)
(850) 416-7658
Entity
Organization
Contact information
Practice address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(818) 448-2111
(850) 416-7677
Mailing address
5153 N 9TH AVE, PENSACOLA, FL 32504-8785
(818) 448-2111
(850) 416-7677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TRN13578
FL
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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