Gastroenterology Associates Of Pensacola PA
Internal Medicine, Gastroenterology in Milton, FL. Organization (NPI-2).
NPI number1043962822
StatusActive
Last updated in NPPESMay 15, 2025
Details
- NPI
- 1043962822
- Entity type
- Organization (NPI-2)
- Legal business name
- Gastroenterology Associates Of Pensacola PA
- Organization subpart
- No
- Enumeration date
- Jan 22, 2022
- Certification date
- May 15, 2025
- Last updated
- May 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | Yes |
Practice location
6088 Berryhill RdMilton, FL 32570-5062
Phone 850-436-4563
Mailing address
9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866
Phone 305-468-4185
Authorized official
Alan Oliver
Ceo
7865303820
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