| Palafox Primary Care | |
|
1400 N Palafox St Pensacola FL 32501-2643 | |
| (850) 444-9449 | |
| (850) 390-4933 |
| Full Name | Palafox Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 N Palafox St, Pensacola, 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 |
|---|---|
| Palafox Primary Care 2315 W Jackson St Pensacola FL 32505-7552 Ph: (850) 436-4630 | Palafox Primary Care 1400 N Palafox St Pensacola FL 32501-2643 Ph: (850) 444-9449 |
| NPI Number | 1497020549 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 9638165806 |
|---|---|
| Medicare Enrollment ID | O20160301001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497020549 | NPI | - | NPPES |
| 692990728 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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