| NPI | 1568451029 |
|---|---|
| Doing Business As | DBA PENSACOLA PRIMARY CARE, INC-PINE FOREST |
| Entity Type | Organization |
| Authorized Contact | MICKEY PICKLER VP 850-523-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-11-28 |