FLORIDA STATE UNIVERSITY; NPI #1821244989

Contact Information

FLORIDA STATE UNIVERSITY

5153 N 9TH AVE
6TH FLOOR NEMOURS CHILDRENS CLINIC
PENSACOLA, FL 32504-8785

Phone: 850-416-7658
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for FLORIDA STATE UNIVERSITY

NPI Number 1821244989

LBN Legal business name FLORIDA STATE UNIVERSITY

Authorized official ANTHONY MCDAVID - (PROGRAM DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/08/2008

Last updated 08/08/2008 - About 18 years ago

Identifiers

License #

13076

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FLORIDA STATE UNIVERSITY

Contact Information

Specialty

Children

NPI Profile & details for FLORIDA STATE UNIVERSITY

Reviews for FLORIDA STATE UNIVERSITY