AVALON MEDICAL GROUP

PENSACOLA, FL
NPI1558531905
Entity TypeOrganization
Authorized ContactKATHERINE K STANLEY
Authorized Agent
850-485-7341
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2008-03-01
Last Update Date2012-07-06
Business Address
AVALON MEDICAL GROUP
1900 SUMMIT BLVD
PENSACOLA, FL 32503-3359
Phone number: 850-436-5900
Mailing Address
AVALON MEDICAL GROUP
PO BOX 10209
PENSACOLA, FL 32524-0209
Phone number: 850-476-4200
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