| The Diabetes And Endocrine Center Of Pensacola Llc | |
|
6160 N Davis Hwy Suite 10a Pensacola FL 32504-6994 | |
| (850) 208-3848 | |
| (850) 208-3848 |
| Full Name | The Diabetes And Endocrine Center Of Pensacola Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6160 N Davis Hwy, Pensacola, Florida |
| Authorized Official Name and Position | Vishnu Narayan Behari (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8502083848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Diabetes And Endocrine Center Of Pensacola Llc 6160 N Davis Hwy Suite 10a Pensacola FL 32504-6994 Ph: (850) 208-3848 | The Diabetes And Endocrine Center Of Pensacola Llc 6160 N Davis Hwy Suite 10a Pensacola FL 32504-6994 Ph: (850) 208-3848 |
| NPI Number | 1811354129 |
|---|---|
| Provider Enumeration Date | 01/19/2016 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 3375823339 |
|---|---|
| Medicare Enrollment ID | O20161208000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811354129 | NPI | - | NPPES |
| 279086600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 98582 (Florida) | Primary |
| Provider Name | Vishnu N Behari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447202874 PECOS PAC ID: 2961480868 Enrollment ID: I20071012000417 |
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