Healthcare Provider Details

I. General information

NPI: 1508268426
Provider Name (Legal Business Name): PROFESSIONAL HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 AIRPORT BLVD STE A
PENSACOLA FL
32504-8623
US

IV. Provider business mailing address

1110 AIRPORT BLVD STE A
PENSACOLA FL
32504-8608
US

V. Phone/Fax

Practice location:
  • Phone: 850-858-2273
  • Fax: 850-858-2278
Mailing address:
  • Phone: 850-858-2273
  • Fax: 850-858-2278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LISA J WELLS
Title or Position: VP
Credential:
Phone: 205-221-8258