Organization
SACRED HEART ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COY WELLS (MANAGER)
(205) 999-2864
Entity
Organization
Contact information
Practice address
1890 SUMMIT BOULEVARD, SUITE 210, PENSACOLA, FL 32503
(833) 419-1325
(844) 853-5049
Mailing address
1890 SUMMIT BOULEVARD, SUITE 210, PENSACOLA, FL 32503
(833) 419-1325
(844) 853-5049
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
07/20/2020
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