WEST FLORIDA MEDICAL CENTER CLINIC PA NPI 1043396245

NPI Information

WEST FLORIDA MEDICAL CENTER CLINIC PA is an ambulatory surgical clinic center in Pensacola, FL. WEST FLORIDA MEDICAL CENTER CLINIC PA NPI is 1043396245. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Center Clinic Ambulatory Surgical Center.

The provider's business location address is:

8333 N DAVIS HWY
PENSACOLA, FL
ZIP 32514-050
Phone: (850) 969-2121
Fax: (850) 969-2989

The provider's authorized official is Marshall Andy Popple .
The authorized official title is President and has the following contact phone number (850) 474-8724.

The CLIA number assigned to this NPI record is 10D0918695 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 2/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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