National Provider Identifier Database

FSU PEDIATRIC RESIDENCY PROGRAM
Children


Contact Information

FSU PEDIATRIC RESIDENCY PROGRAM
5151 N 9TH AVE
6TH FLOOR NEMOURS CHILDRENS CLINIC
PENSACOLA, FL32504-8721
Phone: 850-416-7658
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for FSU PEDIATRIC RESIDENCY PROGRAM

NPI Number 1558652040
Legal business name
LBN
FSU PEDIATRIC RESIDENCY PROGRAM
Authorized official POOJA KASHYAP - (RESIDENT/PGY3)
Entity Organization
Organization subpart No
Enumeration date 05/02/2011
Last updated 05/02/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: TRN15533

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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