Organization · NPI-2
Acts Signature Community Services, INC.
Internal Medicine · Pensacola, FL
NPI number1215326335
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1215326335
- Entity type
- Organization (NPI-2)
- Legal business name
- Acts Signature Community Services, INC.
- Organization subpart
- No
- Enumeration date
- Jan 13, 2015
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Primary Care Services At Azalea Trace (Doing Business As)
Practice location
10100 Hillview DrivePensacola, FL 32514
Phone 850-478-5200 · Fax 850-474-0558
Mailing address
420 Delaware DrFort Washington, PA 19034-2711
Phone 267-787-4097 · Fax 215-699-2065
Authorized official
Susan Ahern
Svp, Cfo
2156618330
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