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

NPI Information

  • NPI: 1619196151
  • Provider Name: PENSACOLA LUNG GROUP, M.D.'S, P.A.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 10D0271071
  • Address: 4700 BAYOU BLVD.
    SUITE 6
    PENSACOLA, FL
    ZIP 32503
  • Phone: (850) 477-9253

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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
1254412100MEDICAIDFLORIDA

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: 3/30/2025

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