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Contact Information

PENSACOLA LUNG GROUP, M.D.'S, P.A.
4700 BAYOU BLVD.
SUITE 6
PENSACOLA, FL32503
 Phone: 850-477-9253
 Fax: 850-494-9843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PENSACOLA LUNG GROUP MDS PA · (Female)

NPI Number 1619196151
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2007
Last updated 05/16/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 254412100
Hospital affiliation(s) Not Available
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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