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Contact Information

BRENT D VIDEAU, MD
125 BAPTIST WAY STE 3A
PENSACOLA, FL32503-2274
 Phone: 448-227-6500
 Fax: 578-571-7478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRENT D VIDEAU · (Male)

NPI Number 1730189192
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 01/19/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 66107
  • FL License # ME66107
  • AL Medicaid 009946875
  • FL Medicaid 3756599 00
Hospital affiliation(s)
  • BAPTIST HOSPITAL - (Acute Care)
    1000 W MORENO ST
    PENSACOLA, FL 32501
  • GULF BREEZE HOSPITAL - (Acute Care)
    1110 GULF BREEZE PKWY
    GULF BREEZE, FL 32561
  • JAY HOSPITAL - (Acute Care)
    14114 ALABAMA ST
    JAY, FL 32565
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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