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DOCTORS DIET PROGRAM OF FLORIDA NPI 1053665836


NPI Information

NPI: 1053665836
Provider Name: DOCTORS DIET PROGRAM OF FLORIDA
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6420 N 9TH AVE
PENSACOLA, FL
ZIP 32504
Phone: (850) 494-2039
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DOCTORS DIET PROGRAM OF FLORIDA is a general practice in Pensacola, FL. DOCTORS DIET PROGRAM OF FLORIDA NPI is 1053665836. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6420 N 9TH AVE
PENSACOLA, FL
ZIP 32504-322
Phone: (850) 494-2039
Fax: (850) 494-2043

The provider's authorized official is David Edward Miller .
The authorized official title is Owner and has the following contact phone number (850) 439-2039.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/1/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeOS9816-FLFLORIDAYes

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
1H52816MEDICARE UPINFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.