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PRIMARY CARE HOUSE CALLS PA NPI 1770902462


NPI Information

NPI: 1770902462
Provider Name: PRIMARY CARE HOUSE CALLS PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
2744 GULF BREEZE PKWY
GULF BREEZE, FL
ZIP 32563
Phone: (850) 934-5713
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PRIMARY CARE HOUSE CALLS PA is a medical physician assistant in Gulf Breeze, FL. PRIMARY CARE HOUSE CALLS PA NPI is 1770902462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2744 GULF BREEZE PKWY
GULF BREEZE, FL
ZIP 32563-091
Phone: (850) 934-5713
Fax: (850) 934-0379

The provider's authorized official is Mary Ann Crumlish .
The authorized official title is Pa, Owner and has the following contact phone number (850) 516-8737.

The enumeration date for this NPI number is 4/10/2014 and was last updated on 4/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyARNP1866262FLORIDANo
2363LG0600XNurse PractitionerGerontologyARNP9102271FLORIDANo
3363AM0700XPhysician AssistantMedicalPA9102271FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.