Pensacola Pediatrics PA

NPI #1144302324 in Pensacola, Florida

Provider Information

NPI Number: 1144302324
Entity Type: Organization
Organization Name: Pensacola Pediatrics PA
Primary Specialty: Pediatrics
Enumeration Date: Oct 19, 2006
Last Updated: Jul 29, 2021

Practice Location

Address: 4951 GRANDE DR
City: Pensacola
State: Florida
ZIP Code: 32504-8965
Phone: (850) 473-0100

Authorized Official

Name: PETER HECKATHORN
Title: ADMINISTRATOR
Phone: (850) 473-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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