| Gulf Coast Infectious Diseases Inc | |
|
2120 E Johnson Ave Pensacola FL 32514 | |
| (850) 549-4755 | |
| (850) 549-4760 |
| Full Name | Gulf Coast Infectious Diseases Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2120 E Johnson Ave, Pensacola, Florida |
| Authorized Official Name and Position | Pardeep Kumari (PRESIDENT) |
| Authorized Official Contact | 8505494755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Infectious Diseases Inc Po Box 11640 Pensacola FL 32524 Ph: (850) 549-4755 | Gulf Coast Infectious Diseases Inc 2120 E Johnson Ave Pensacola FL 32514 Ph: (850) 549-4755 |
| NPI Number | 1437109733 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 07/05/2020 |
| Medicare PECOS PAC ID | 9537164769 |
|---|---|
| Medicare Enrollment ID | O20060922000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437109733 | NPI | - | NPPES |
| 611374600 | Other | FL | DEPT OF LABOR |
| 529928850 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Pardeep Kumari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083697320 PECOS PAC ID: 0840293825 Enrollment ID: I20060811000181 |
| Provider Name | Christine A Dickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780183624 PECOS PAC ID: 0941562847 Enrollment ID: I20180312002060 |
| Provider Name | Naomi Golino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538644257 PECOS PAC ID: 5597096404 Enrollment ID: I20191008000731 |
| Provider Name | Kristina A Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467079970 PECOS PAC ID: 3476979667 Enrollment ID: I20200819000048 |
| Provider Name | Meghan Hohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932791621 PECOS PAC ID: 8022427012 Enrollment ID: I20211020003285 |
| Provider Name | Hieu Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962455741 PECOS PAC ID: 6406983949 Enrollment ID: I20230913003558 |
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