National Provider Identifier Database

FSU PEDIATRIC RESIDENCY PROGRAM
Children


Contact Information

FSU PEDIATRIC RESIDENCY PROGRAM
5153 N 9TH AVE
PENSACOLA, FL32504-8785
Phone: 850-416-7710
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for FSU PEDIATRIC RESIDENCY PROGRAM

NPI Number 1750547972
Legal business name
LBN
FSU PEDIATRIC RESIDENCY PROGRAM
Authorized official MARJORIE TURNER - (PGY-1/INTERN)
Entity Organization
Organization subpart No
Enumeration date 08/07/2008
Last updated 08/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: TRN12828

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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