Pensacola Podiatry, P.A.

LBN: Pensacola Podiatry, P.A.
Pensacola Podiatry, P.A. is an health care organization with primary practice located at 6160 N Davis Hwy Ste 1, Pensacola FL 32504-6967. The organization recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. Pensacola Podiatry, P.A. can be contacted via phone (850) 476-2805, or through Stephens, Diane H via phone (850) 476-2805.

Contact Information

Primary practice address
6160 N Davis Hwy Ste 1 Pensacola FL 32504-6967
Phone: (850) 476-2805
Fax: (850) 476-3010
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Diane H
Phone: (850) 476-2805

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1790960508
LBN Legal business name Pensacola Podiatry, P.A.
DBA Doing business as
Authorized official Stephens, Diane H
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2007
Last updated Oct 11th, 2012 - about 12 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 1790960508 NPPES
Florida MEDICAID 040994400

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