Organization
ACCESS CARE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WILABY (CLINICD ADMINISTRATOR)
(850) 912-6588
Entity
Organization
Contact information
Practice address
6705 PINE FOREST RD STE 505, PENSACOLA, FL 32526-6911
(850) 912-6588
(850) 912-6598
Mailing address
3344 WASATCH RANGE LOOP, PENSACOLA, FL 32526-2060
(850) 512-5600
(850) 912-6598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009XM
BCBS
—
Enumeration date
01/31/2019
Last updated
01/31/2019
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