| Internal Medicine Associates Of Pensacola, Pa | |
|
6160 North Davis Hwy Suite 5 Pensacola FL 32504-6967 | |
| (850) 471-2121 | |
| (850) 471-2120 |
| Full Name | Internal Medicine Associates Of Pensacola, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6160 North Davis Hwy, Pensacola, Florida |
| Authorized Official Name and Position | Donald L. Blackmon (PRESIDENT) |
| Authorized Official Contact | 8504712121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Pensacola, Pa 6160 North Davis Hwy Suite 5 Pensacola FL 32504-6967 Ph: (850) 471-2121 | Internal Medicine Associates Of Pensacola, Pa 6160 North Davis Hwy Suite 5 Pensacola FL 32504-6967 Ph: (850) 471-2121 |
| NPI Number | 1457540718 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 06/08/2015 |
| Medicare PECOS PAC ID | 8426231572 |
|---|---|
| Medicare Enrollment ID | O20110326000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457540718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0073644 (Florida) | Secondary |
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Donald L Blackmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992719421 PECOS PAC ID: 6608059753 Enrollment ID: I20110328000830 |
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