| Amikids Escambia Boy's Base | |
|
Corry Station Corry Fld Bldg 3780 Pensacola FL 32511-0001 | |
| (850) 453-7490 | |
| (850) 456-3749 |
| Full Name | Amikids Escambia Boy's Base |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Corry Station Corry Fld Bldg 3780, Pensacola, Florida |
| Authorized Official Name and Position | Oliver Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504537490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amikids Escambia Boy's Base Corry Station Corry Fld Bldg 3780 Pensacola FL 32511-0001 Ph: (850) 453-7490 | Amikids Escambia Boy's Base Corry Station Corry Fld Bldg 3780 Pensacola FL 32511-0001 Ph: (850) 453-7490 |
| NPI Number | 1902246200 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902246200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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