Organization
PACE BLVD FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL R GREENLEE II M.D. (OWNER/PHYSICIAN)
(850) 435-8998
Entity
Organization
Contact information
Practice address
1500 N PACE BLVD, PENSACOLA, FL 32505-6467
(850) 435-8998
(850) 435-8995
Mailing address
1500 N PACE BLVD, PENSACOLA, FL 32505-6467
(850) 435-8998
(850) 435-8995
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0058619
FL
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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