TERRY L PTACEK MD NPI 1437121175

NPI Information

Terry L Ptacek, MD is an addiction medicine family medicine in Pensacola, FL with 43 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Terry L Ptacek, MD NPI is 1437121175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:1981

The provider's business location address is:

1221 W LAKEVIEW AVE
PENSACOLA, FL
ZIP 32501-857
Phone: (850) 469-3500
Fax: (850) 469-3424

The NPI 1437121175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 4/16/2008.

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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