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1003528258
12TH AVENUE HEALTHCARE, INC
PENSACOLA, FL
NPI
1003528258
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Entity Type
Organization
Authorized Contact
EMILY STINNETT
President
850-776-7872
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
12TH AVENUE HEALTHCARE, INC
1101 OFFICE WOODS DR
PENSACOLA, FL 32504-5937
Phone number: 850-776-7872
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Mailing Address
12TH AVENUE HEALTHCARE, INC
9735 N PALAFOX ST
PENSACOLA, FL 32534-1224
Phone number: 850-776-7872
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