| Michael P Conrad Md Pa | |
|
1221 East Desoto Street Pensacola FL 32501-3337 | |
| (850) 437-9997 | |
| (850) 439-2122 |
| Full Name | Michael P Conrad Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1221 East Desoto Street, Pensacola, Florida |
| Authorized Official Name and Position | Michael P Conrad (OWNER) |
| Authorized Official Contact | 8509379997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Conrad Md Pa 1221 East Desoto Street Pensacola FL 32501 Ph: (850) 437-9997 | Michael P Conrad Md Pa 1221 East Desoto Street Pensacola FL 32501-3337 Ph: (850) 437-9997 |
| NPI Number | 1346417029 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Medicare PECOS PAC ID | 3971564519 |
|---|---|
| Medicare Enrollment ID | O20041026000816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346417029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0055242 (Florida) | Primary |
| Provider Name | Michael P Conrad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124063474 PECOS PAC ID: 8820059470 Enrollment ID: I20090325000297 |
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