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COMFORT CARE MEDICAL GROUP PA NPI 1841236726


NPI Information

NPI: 1841236726
Provider Name: COMFORT CARE MEDICAL GROUP PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
4511 N DAVIS HWY
STE 1-C
PENSACOLA, FL
ZIP 32503
Phone: (850) 476-9088
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COMFORT CARE MEDICAL GROUP PA is a medical physician assistant in Pensacola, FL. COMFORT CARE MEDICAL GROUP PA NPI is 1841236726. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4511 N DAVIS HWY
STE 1-C
PENSACOLA, FL
ZIP 32503-720
Phone: (850) 476-9088
Fax: (850) 476-9902

The provider's authorized official is Mary Ann Crumlish .
The authorized official title is Secretary/treasurer and has the following contact phone number (850) 476-9088.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 6/16/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNo
2363AM0700XPhysician AssistantMedicalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.