| Volunteers Of America Of Florida, Inc | |
|
1617 Blackwell Ln Pensacola FL 32514-7591 | |
| (850) 479-3444 | |
| (850) 479-3446 |
| Full Name | Volunteers Of America Of Florida, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1617 Blackwell Ln, Pensacola, Florida |
| Authorized Official Name and Position | Randall Mark Burgan (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7274984807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volunteers Of America Of Florida, Inc 405 Central Ave Ste 100 St Petersburg FL 33701-3866 Ph: (727) 498-4807 | Volunteers Of America Of Florida, Inc 1617 Blackwell Ln Pensacola FL 32514-7591 Ph: (850) 479-3444 |
| NPI Number | 1457927147 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457927147 | NPI | - | NPPES |
| 100740100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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