Pensacola Pediatrics, PA
Pediatrics in Pensacola, FL. Organization (NPI-2).
NPI number1801649686
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1801649686
- Entity type
- Organization (NPI-2)
- Legal business name
- Pensacola Pediatrics, PA
- Organization subpart
- No
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
5868 Creek Station DrPensacola, FL 32504-8627
Phone 850-473-0100 · Fax 850-473-0500
Mailing address
4951 Grande DrPensacola, FL 32504-8965
Phone 850-473-0100 · Fax 850-473-0500
Authorized official
Peter Heckathorn
Administrator
8504730100
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