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PMMDOC INC NPI 1053566380


NPI Information

NPI: 1053566380
Provider Name: PMMDOC INC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
6435 DUNLIETH PLACE
PENSACOLA, FL
ZIP 32504
Phone: (850) 478-0240
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PMMDOC INC is an emergency medical services emergency medicine in Pensacola, FL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. PMMDOC INC NPI is 1053566380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6435 DUNLIETH PLACE
PENSACOLA, FL
ZIP 32504-887
Phone: (850) 478-0240
Fax: (850) 478-0502

The provider's authorized official is Peter Michael Manis .
The authorized official title is President and has the following contact phone number (850) 478-0240.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 4/30/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical ServicesME38433FLORIDAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042767500MEDICAIDFLORIDA
2BQ352AMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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