PENSACOLA PODIATRY P.A. NPI 1790960508

NPI Information

NPI: 1790960508
Provider Name: PENSACOLA PODIATRY, P.A.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6160 N DAVIS HWY
STE 1
PENSACOLA, FL
ZIP 32504
Phone: (850) 476-2805
Get Directions

PENSACOLA PODIATRY, P.A. is a foot and ankle surgery podiatrist in Pensacola, FL. PENSACOLA PODIATRY, P.A. NPI is 1790960508. The provider is registered as an organization entity type.

The provider's business location address is:

6160 N DAVIS HWY
STE 1
PENSACOLA, FL
ZIP 32504-967
Phone: (850) 476-2805
Fax: (850) 476-3010

The provider's authorized official is Diane H Stephens .
The authorized official title is Office Manager and has the following contact phone number (850) 476-2805.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 10/11/2012.

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	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	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
1	1236350001	MEDICARE NSC	FLORIDA
2	K1811	MEDICARE PIN	FLORIDA
3	040994400	MEDICAID	FLORIDA

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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