Organization
EMERALD COAST PEDIATRIC PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHLEEN M. FARROLL R.N. (ADMINISTRATOR)
(850) 484-5040
Entity
Organization
Contact information
Practice address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5527
Mailing address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5527
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2006
Last updated
08/22/2020
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