PENSACOLA LUNG GROUP M.D.'S P.A. NPI 1619196151

NPI Information

PENSACOLA LUNG GROUP, M.D.'S, P.A. is a specialist in Pensacola, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PENSACOLA LUNG GROUP, M.D.'S, P.A. NPI is 1619196151. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4700 BAYOU BLVD.
SUITE 6
PENSACOLA, FL
ZIP 32503
Phone: (850) 477-9253
Fax: (850) 494-9843

The provider's authorized official is April L. Mcdaniel .
The authorized official title is Billing Supervisor and has the following contact phone number (850) 477-9253.

The CLIA number assigned to this NPI record is 10D0271071 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 5/16/2019.

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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