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1477022838
PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
GULFPORT, MS
NPI
1477022838
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Entity Type
Organization
Authorized Contact
DAVID A. CULVER
Administrator
904-825-4368
Organization Subpart ?
No
Primary Taxonomy
207QG0300X Family Medicine Geriatric Medicine
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
1110 BROAD STREET SUITE 300
GULFPORT, MS 39501
Phone number: 228-563-4787
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Mailing Address
PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
100 ARRICOLA AVENUE
ST. AUGUSTINE, FL 32080
Phone number: 904-825-4368
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