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PANHANDLE VASCULAR SURGICAL SPECIALISTS NPI 1861929606


NPI Information

NPI: 1861929606
Provider Name: PANHANDLE VASCULAR SURGICAL SPECIALISTS
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 10D2182060

Address:
1502 CREIGHTON RD STE A
PENSACOLA, FL
ZIP 32504
Phone: (850) 437-3777
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PANHANDLE VASCULAR SURGICAL SPECIALISTS is a vascular surgery surgery in Pensacola, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PANHANDLE VASCULAR SURGICAL SPECIALISTS NPI is 1861929606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1502 CREIGHTON RD STE A
PENSACOLA, FL
ZIP 32504-143
Phone: (850) 437-3777
Fax: (850) 437-3318

The provider's authorized official is Lincoln Roland .
The authorized official title is Owner and has the following contact phone number (850) 437-3777.

The CLIA number assigned to this NPI record is 10D2182060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 1/7/2022.


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
12086S0129XSurgeryVascular SurgeryYes

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.