State of Florida
NPI #1104003995 in Port Saint Joe, Florida
Provider Information
- NPI Number
- 1104003995
- Entity Type
- Organization
- Organization Name
- State of Florida
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 24, 2008
- Last Updated
- Apr 27, 2012
Practice Location
- Address
- 2475 GARRISON AVE
- City
- Port Saint Joe
- State
- Florida
- ZIP Code
- 32456-5265
- Phone
- (850) 227-1276
Authorized Official
- Name
- MARSHA LINDERMANN
- Title
- ADMINISTRATOR
- Phone
- (850) 227-1276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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