| Center For Prevention And Treatment Of Infections, P.a. | |
|
5147 N 9th Ave Suite 322 Pensacola FL 32504-8771 | |
| (850) 439-5681 | |
| (850) 439-5682 |
| Full Name | Center For Prevention And Treatment Of Infections, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5147 N 9th Ave, Pensacola, Florida |
| Authorized Official Name and Position | Edgardo E Li-espino (PRESIDENT) |
| Authorized Official Contact | 8504395681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Prevention And Treatment Of Infections, P.a. 5147 N 9th Ave Suite 322 Pensacola FL 32504-8771 Ph: (850) 439-5681 | Center For Prevention And Treatment Of Infections, P.a. 5147 N 9th Ave Suite 322 Pensacola FL 32504-8771 Ph: (850) 439-5681 |
| NPI Number | 1811311004 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 10/02/2014 |
| Medicare PECOS PAC ID | 0244461168 |
|---|---|
| Medicare Enrollment ID | O20140318001081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811311004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Edgardo Li Espino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285768432 PECOS PAC ID: 8628101722 Enrollment ID: I20100726000693 |
| Provider Name | Ronaldo Rodriguez Patiag |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437327293 PECOS PAC ID: 5193992063 Enrollment ID: I20120117000564 |
| Provider Name | Christine A Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780183624 PECOS PAC ID: 0941562847 Enrollment ID: I20180312002060 |
| Provider Name | Sibyl Tenille Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497252050 PECOS PAC ID: 3375896400 Enrollment ID: I20181019000011 |
| Provider Name | Raymond Lee Halstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548742927 PECOS PAC ID: 6800149758 Enrollment ID: I20181023003734 |
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