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EAR NOSE & THROAT- HEAD & NECK SURGERY OF PENSACOLA PA NPI 1932268208


NPI Information

NPI: 1932268208
Provider Name: EAR NOSE & THROAT- HEAD & NECK SURGERY OF PENSACOLA PA
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
5147 N 9TH AVE
SUITE 325A
PENSACOLA, FL
ZIP 32504
Phone: (850) 475-9025
Get Directions

EAR NOSE & THROAT- HEAD & NECK SURGERY OF PENSACOLA PA is an otolaryngology/facial plastic surgery otolaryngology in Pensacola, FL. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EAR NOSE & THROAT- HEAD & NECK SURGERY OF PENSACOLA PA NPI is 1932268208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5147 N 9TH AVE
SUITE 325A
PENSACOLA, FL
ZIP 32504-771
Phone: (850) 475-9025
Fax: (850) 494-7855

The provider's authorized official is James Henry Pennington .
The authorized official title is President and has the following contact phone number (850) 475-9025.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/2/2008.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryME53420FLORIDAYes

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
1051509710PENMEDICARE ID-TYPE UNSPECIFIEDALABAMAGROUP ID NUMBER
2529601510MEDICAIDALABAMA
3379142400MEDICAIDFLORIDA
440309MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP ID NUMBER
5CC6475MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE ID

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

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