PENSACOLA PHYSICAL MEDICINE INC (NPI# 1629475033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629475033 |
| Entity Type | Organization |
| Organization Name | PENSACOLA PHYSICAL MEDICINE INC |
| Practice Address |
9007 University Pkwy Pensacola FL 32514-5525 |
| Practice Telephone | 8504765420 |
| Practice Fax Number | 8504765422 |
| Mailing Telephone | 8504765420 |
| Mailing Fax Number | 8504765422 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. PETER A SMITH (PRESIDENT) |
| Authorized Official Telephone | 8504765420 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH 9119 | FL | Chiropractic Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9212528 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME51367 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
9007 UNIVERSITY PKWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255367918 | Leisa D. Ludlam Ph.d., P.a. | Psychologist | 9007 University Pkwy, Pensacola, FL 32514-5525 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851375489 | Khaled A Rikabi | Internal Medicine | 1549 Airport Blvd Ste 430, Pensacola, FL 32504-8634 | 2005-12-06 |
| 1265992200 | Gulf Coast Infectious Disease | Internal Medicine | 2120 E Johnson Ave Ste 105, Pensacola, FL 32514-6091 | 2019-03-25 |
| 1811311004 | Center for Prevention and Treatment of Infections, P.a. | Internal Medicine | 5147 N 9th Ave, Suite 322, Pensacola, FL 32504-8771 | 2014-02-10 |
| 1437327293 | Ronaldo Rodriguez Patiag | Internal Medicine | 5147 N 9th Ave, Suite 322, Pensacola, FL 32504-8771 | 2008-02-14 |
| 1285768432 | Edgardo E Li-espino | Internal Medicine | 5147 N 9th Ave, Suite 322, Pensacola, FL 32504-8771 | 2007-03-16 |
| 1174657332 | Infectious Diseases Associates of Northwest Florida Pa | Internal Medicine | 5153 N 9th Ave, Suite 305, Pensacola, FL 32504-5719 | 2007-03-16 |
| 1699809830 | Barbara H Wade | Internal Medicine | 4300 Bayou Blvd, Suite 17d, Pensacola, FL 32503-2671 | 2007-03-16 |
| 1235218405 | Infectious Disease Group, Pa | Internal Medicine | 1717 N E St, Suite 439, Pensacola, FL 32501-6339 | 2006-11-06 |
| 1386728780 | James Sidney Clements Jr. | Internal Medicine | 1717 N E St, Suite 439, Pensacola, FL 32501-6339 | 2006-10-24 |
| 1790869006 | David Anthony Daley | Internal Medicine | 1717 N E St, Suite 439, Pensacola, FL 32501-6339 | 2006-10-24 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on PENSACOLA PHYSICAL MEDICINE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.