PENSACOLA PRIMARY CARE INC NPI 1568451029

NPI Information

  • NPI: 1568451029
  • Provider Name: PENSACOLA PRIMARY CARE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: DBA PENSACOLA PRIMARY CARE, INC-PINE FOREST
  • CLIA Number: 10D0887734
  • Address: 7458 PINE FOREST RD
    PENSACOLA, FL
    ZIP 32526
  • Phone: (850) 474-8773

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NPI Details

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 1568451029. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Pensacola Primary Care, Inc-pine Forest.

The provider's business location address is:

7458 PINE FOREST RD
PENSACOLA, FL
ZIP 32526-818
Phone: (850) 474-8773
Fax: (850) 941-0084

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 10D0887734 - 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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