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1376028563
SOUTHERN BREEZE HEALTHCARE
NICEVILLE, FL
NPI
1376028563
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Entity Type
Organization
Authorized Contact
GARY BULLARD
Physician Assistant
910-988-1326
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-10-03
Last Update Date
2021-01-05
Business Address
SOUTHERN BREEZE HEALTHCARE
4556 E HWY 20 SUITE 105
NICEVILLE, FL 32578
Phone number: 910-988-1326
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Mailing Address
SOUTHERN BREEZE HEALTHCARE
4556 E HWY 20 SUITE 105
NICEVILLE, FL 32578
Phone number: 910-988-1326
Copy
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