| Cogent Healthcare Of Pensacola Llc | |
|
901 45th St Mangonia Park FL 33407-2413 | |
| (561) 844-6300 | |
| Not Available |
| Full Name | Cogent Healthcare Of Pensacola Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 45th St, Mangonia Park, Florida |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR OF PAYER ENROLLMENT) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Pensacola Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Cogent Healthcare Of Pensacola Llc 901 45th St Mangonia Park FL 33407-2413 Ph: (561) 844-6300 |
| NPI Number | 1568111599 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 03/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568111599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Primary Medical Care Center Iv, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1233 45th St Ste B4, Mangonia Park, FL 33407 Phone: 561-250-0000 Fax: 888-365-3056 |