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PHYSICIAN ASSOCIATES OF THE PALM BEACHES NPI 1558716811


NPI Information

NPI: 1558716811
Provider Name: PHYSICIAN ASSOCIATES OF THE PALM BEACHES
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
49 SKYSTONE CT
PENSACOLA, FL
ZIP 32506
Phone: (561) 633-9913
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PHYSICIAN ASSOCIATES OF THE PALM BEACHES is a geriatric medicine family medicine in Pensacola, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PHYSICIAN ASSOCIATES OF THE PALM BEACHES NPI is 1558716811. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

49 SKYSTONE CT
PENSACOLA, FL
ZIP 32506-842
Phone: (561) 633-9913
Fax: (561) 403-1103

The provider's authorized official is Linda Ford .
The authorized official title is President and has the following contact phone number (561) 633-9913.

The enumeration date for this NPI number is 4/24/2016 and was last updated on 4/24/2016.


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
1363AM0700XPhysician AssistantMedicalPA9101814FLORIDANo
2207QG0300XFamily MedicineGeriatric 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
1U1241XMEDICARE 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

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