Emerald Coast City Of Hope, Inc | |
3220 Avalon Blvd Milton FL 32583-2352 | |
(850) 910-3926 | |
Not Available |
Full Name | Emerald Coast City Of Hope, Inc |
---|---|
Speciality | Counselor - Professional |
Location | 3220 Avalon Blvd, Milton, Florida |
Authorized Official Name and Position | Paul Edwin Malson (OWNER) |
Authorized Official Contact | 8506653505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emerald Coast City Of Hope, Inc 3220 Avalon Blvd Milton FL 32583-2352 Ph: (850) 910-3926 | Emerald Coast City Of Hope, Inc 3220 Avalon Blvd Milton FL 32583-2352 Ph: (850) 910-3926 |
NPI Number | 1568002376 |
---|---|
Provider Enumeration Date | 01/09/2020 |
Last Update Date | 01/09/2020 |
Certification Date | 01/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568002376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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