PEA RIDGE FAMILY CARE CENTER INC

PACE, FL
NPI1306822911
Entity TypeOrganization
Authorized ContactPURUSHOTTAM K. GARG
Owner
850-995-8811
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2005-12-16
Last Update Date2011-12-12
Business Address
PEA RIDGE FAMILY CARE CENTER INC
5553 HIGHWAY 90
PACE, FL 32571-1540
Phone number: 850-995-8811
Mailing Address
PEA RIDGE FAMILY CARE CENTER INC
PO BOX 2276
PENSACOLA, FL 32513-2276
Phone number: 850-995-8811