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28 N Palafox St Pensacola FL 32502-5626 | |
(775) 846-0293 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 28 N Palafox St, Pensacola, Florida |
Authorized Official Name and Position | David Simpson (OWNER) |
Authorized Official Contact | 7758460293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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28 N Palafox St Pensacola FL 32502-5626 Ph: (775) 846-0293 | 28 N Palafox St Pensacola FL 32502-5626 Ph: (775) 846-0293 |
NPI Number | 1871331462 |
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Provider Enumeration Date | 07/17/2024 |
Last Update Date | 07/30/2024 |
Medicare PECOS PAC ID | 8729510300 |
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Medicare Enrollment ID | O20241021003367 |
Identifier | Type | State | Issuer |
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1871331462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | David W Simpson |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1629054788 PECOS PAC ID: 8820984206 Enrollment ID: I20060214000502 |
Provider Name | Maria Auxiliador Painter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275032997 PECOS PAC ID: 4385904309 Enrollment ID: I20210625002481 |
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