Pensacola Pediatrics Pa

LBN: Pensacola Pediatrics Pa
Pensacola Pediatrics Pa is an health care organization with primary practice located at 4951 Grande Dr , Pensacola FL 32504-8965. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pensacola Pediatrics Pa can be contacted via phone (850) 473-0100, or through Heckathorn, Peter via phone (850) 473-0100.

Contact Information

Primary practice address
4951 Grande Dr Pensacola FL 32504-8965
Phone: (850) 473-0100
Fax: (850) 473-0500
Website:
Map and Directions
Authorized official contact:
Name: Heckathorn, Peter
Phone: (850) 473-0100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Florida

Profile Details

NPI number 1144302324
LBN Legal business name Pensacola Pediatrics Pa
DBA Doing business as
Authorized official Heckathorn, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 29th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144302324 NPPES
Florida MEDICAID 063018700
Florida MEDICAID 063018701

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