| |
5559 N Davis Hwy, Suite B, Pensacola, FL 32503-2048 | |
(850) 475-2676 | |
(850) 475-2679 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 5559 N Davis Hwy, Pensacola, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952754095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 7173 (Florida) | Secondary |
208D00000X | General Practice | 60612 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
5559 N Davis Hwy, Suite B, Pensacola, FL 32503-2048 Ph: (850) 475-2676 | 5559 N Davis Hwy, Suite B, Pensacola, FL 32503-2048 Ph: (850) 475-2676 |