Dr. Ethan McCaleb Gore, M.D.

Psychiatry & Neurology, Neurology in Pensacola, FL. Individual provider (NPI-1).

NPI number1003136987

StatusActive

Last updated in NPPESMay 24, 2016

Details

NPI: 1003136987
Entity type: Individual (NPI-1)
Name: Dr. Ethan McCaleb Gore
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 2, 2010
Last updated: May 24, 2016

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - NEUROLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2084N0400X	Psychiatry & Neurology, Neurology	ME127830	FL	Yes

Practice location

8333 N Davis Hwy
Pensacola, FL 32514-6050

Phone 850-474-8353 · Fax 850-474-8504

Mailing address

8333 N Davis Hwy
Pensacola, FL 32514-6050

Phone 850-474-8100 · Fax 850-474-8083

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Other Neurology Physician providers in Pensacola, FL

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