Organization · Type 2 NPI

12th Avenue Healthcare, Inc

Family Nurse Practitioner · Pensacola, FL

NPI number 1003528258 Active

Practice location

1101 Office Woods Dr
Pensacola, FL 32504-5937

Fax (850) 474-9060

Mailing address

9735 N Palafox St
Pensacola, FL 32534-1224

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1003528258

12th Avenue Healthcare, Inc's National Provider Identifier is 1003528258, issued on Dec 20, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pensacola, FL. The record was last updated on Dec 20, 2022.