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PENSACOLA PRIMARY CARE INC NPI 1306835780


NPI Information

NPI: 1306835780
Provider Name: PENSACOLA PRIMARY CARE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0271244

Address:
321 S FAIRFIELD DR
PENSACOLA, FL
ZIP 32506
Phone: (850) 474-8546
Get Directions

PENSACOLA PRIMARY CARE INC is a family medicine in Pensacola, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PENSACOLA PRIMARY CARE INC NPI is 1306835780. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

321 S FAIRFIELD DR
PENSACOLA, FL
ZIP 32506-990
Phone: (850) 474-8546
Fax: (850) 456-7222

The provider's authorized official is Mickey Pickler .
The authorized official title is Vp and has the following contact phone number (850) 523-2117.

The CLIA number assigned to this NPI record is 10D0271244 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 11/28/2007.


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
1207Q00000XFamily MedicineYes

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
1K2580MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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.