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NPI Code Detail

MEDICARE: SOUTHERN HEALTH PARTNERS, INC.

MEDICARE: SOUTHERN HEALTH PARTNERS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care AgencyFL

General Provider Information

NPI Number : 1386788495
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN HEALTH PARTNERS, INC.
Provider Business Mailing Address
First Line : 705 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2529
Country : US
Telephone Number : 850-785-5475
Fax Number : 850-785-5474
Provider Business Practice Location Address
First Line : 705 JENKS AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2529
Country : US
Telephone Number : 850-785-5475
Fax Number : 850-785-5474
Authorized Official
Title or Position : PRESIDENT
Name : MS. COLLEEN A KUDA
Credential : RN
Telephone Number : 850-785-5475
Provider Enumeration Date : 02/20/2007
Last Update Date : 08/22/2020

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Directions to “SOUTHERN HEALTH PARTNERS, INC. ” Practice Location

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