| Cantonment Adult And Familiy Care | |
|
748 N Highway 29 Cantonment FL 32533 | |
| (850) 937-4004 | |
| (850) 937-4006 |
| Full Name | Cantonment Adult And Familiy Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 748 N Highway 29, Cantonment, Florida |
| Authorized Official Name and Position | Chandra Smiley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504364630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cantonment Adult And Familiy Care 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Cantonment Adult And Familiy Care 748 N Highway 29 Cantonment FL 32533 Ph: (850) 937-4004 |
| NPI Number | 1215168992 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 9638165806 |
|---|---|
| Medicare Enrollment ID | O20091016000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215168992 | NPI | - | NPPES |
| 692990704 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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