Louderback, Pamela D

Louderback, Pamela D is an individual health care provider with primary practice located at 700 6Th Street South , St. Petersburg FL 33701-4814. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Nursing Service Providers / Wound Care. Nursing Service Providers / Wound Care is her primary health care specialty. Louderback, Pamela D can be contacted via phone (904) 446-3701.

Contact Information

Primary practice address
700 6Th Street South St. Petersburg FL 33701-4814
Phone: (904) 446-3701
Fax: (888) 507-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ARNP1095812 Florida
Nursing Service Providers / Wound Care 163WW0000X ARNP1095812 Florida

Profile Details

NPI number 1104932896
LBN Legal business name Louderback, Pamela D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Nov 14th, 2022 - about 2 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 1104932896 NPPES
Florida MEDICAID 304014300
Florida Other 7373704
Florida Other P00226381

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