| Cordova Family Practice Pa | |
|
4400 Bayou Blvd Suite 37 Pensacola FL 32503-2673 | |
| (850) 474-9606 | |
| (850) 474-9977 |
| Full Name | Cordova Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4400 Bayou Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Barbara D French (PRESIDENT/OWNER) |
| Authorized Official Contact | 8504749606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordova Family Practice Pa 4400 Bayou Blvd Suite 37 Pensacola FL 32503-2673 Ph: (850) 474-9606 | Cordova Family Practice Pa 4400 Bayou Blvd Suite 37 Pensacola FL 32503-2673 Ph: (850) 474-9606 |
| NPI Number | 1265627939 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 3375738446 |
|---|---|
| Medicare Enrollment ID | O20101115000827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265627939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Barbara French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760468441 PECOS PAC ID: 4284829359 Enrollment ID: I20101115000872 |
| Provider Name | Natalie S Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568448199 PECOS PAC ID: 2163713199 Enrollment ID: I20160622002567 |
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