BLUE ANGEL FAMILY CHIROPRACTIC PA NPI 1588720106

NPI Information

NPI: 1588720106
Provider Name: BLUE ANGEL FAMILY CHIROPRACTIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5700 N BLUE ANGEL PKWY
PENSACOLA, FL
ZIP 32526
Phone: (850) 453-2211
Get Directions

BLUE ANGEL FAMILY CHIROPRACTIC PA is a chiropractor in Pensacola, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BLUE ANGEL FAMILY CHIROPRACTIC PA NPI is 1588720106. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5700 N BLUE ANGEL PKWY
PENSACOLA, FL
ZIP 32526-620
Phone: (850) 453-2211
Fax: (850) 453-3366

The provider's authorized official is David Aaron Fontz .
The authorized official title is President and has the following contact phone number (850) 453-2211.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 4/9/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

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
1	K2276	MEDICARE PIN	FLORIDA
2	74785	OTHER	FLORIDA	BLUE CROSS GROUP NUMBER

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

NPI Synchronization or Removal

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