Giddens, Jeffrey Lee

Giddens, Jeffrey Lee is an individual health care provider with primary practice located at 5151 N 9Th Ave Er, Pensacola FL 32504-8721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Giddens, Jeffrey Lee can be contacted via phone (850) 416-7000.

Contact Information

Primary practice address
5151 N 9Th Ave Er Pensacola FL 32504-8721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 15687 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME68507 Florida

Profile Details

NPI number 1992774731
LBN Legal business name Giddens, Jeffrey Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992774731 NPPES
Mississippi MEDICAID 119219
Mississippi MEDICAID 274636100

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