PENSACOLA PRIMARY CARE INC NPI 1982643169

NPI Information

PENSACOLA PRIMARY CARE INC is a family medicine in Pensacola, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PENSACOLA PRIMARY CARE INC NPI is 1982643169. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2120 EAST JOHNSON AVENUE
SUITE 103
PENSACOLA, FL
ZIP 32514-050
Phone: (850) 494-3965
Fax: (850) 494-3966

The provider's authorized official is Mickey Pickler .
The authorized official title is Vp and has the following contact phone number (850) 523-2117.

The CLIA number assigned to this NPI record is 10D2142940 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/15/2008.

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:

Other Identifiers

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