| NPI | 1255320636 |
|---|---|
| Doing Business As | DBA PENSACOLA PRIMARY CARE, INC.-NINE MILE |
| Entity Type | Organization |
| Authorized Contact | MICKEY PICKLER Director 850-523-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-11-07 |