Child Neurology Center Of Northwest Florida Pa in Gulf Breeze - Specialist
Child Neurology Center Of Northwest Florida Pa - NPI 1053392233
Child Neurology Center Of Northwest Florida Pa is a Specialist in Gulf Breeze, Florida. Child Neurology Center Of Northwest Florida Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Child Neurology Center Of Northwest Florida Pa is 1053392233. The last update date is 2009-03-03.
Child Neurology Center Of Northwest Florida Pa's current location address is Po Box 280, Gulf Breeze, Florida. You can contact this provider via phone number 8509325055 and fax number 8509321401. The mailing address for Child Neurology Center Of Northwest Florida Pa is Po Box 280, Gulf Breeze, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Child Neurology Center Of Northwest Florida Pa |
|---|---|
| Address | Po Box 280, Gulf Breeze, Florida |
| Phone Number | 8509325055 |
| Fax Number | 8509321401 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Renfroe Ben James |
| Credentials | M.D. |
| Telephone Number | 8509325055 |
NPI Number Detail
| NPI Number | 1053392233 |
|---|---|
| Provider Enumeration Date | 2005-11-07 |
| Last Updated Date | 2009-03-03 |
Provider Mailing Address Detail
| Address | Po Box 280 |
|---|---|
| City | Gulf Breeze |
| State | Florida (FL) |
| Post Code | 325620280 |
| Phone Number | 8509325055 |
| Fax Number | 8509321401 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 257889100 | FL | -- | |
| 529918930 | AL | -- |
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What is the Child Neurology Center Of Northwest Florida Pa's unique identification number?
The Child Neurology Center Of Northwest Florida Pa has been assigned the NPI (National Provider Identifier) Number 1053392233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Child Neurology Center Of Northwest Florida Pa's facilities are situated?
The facilities of Child Neurology Center Of Northwest Florida Pa are physically located at the following address: Po Box 280, Gulf Breeze, FL, 325620280.
What is the Child Neurology Center Of Northwest Florida Pa's specialty and taxonomy code?
The Child Neurology Center Of Northwest Florida Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Child Neurology Center Of Northwest Florida Pa receive its 1053392233?
The Child Neurology Center Of Northwest Florida Pa was issued its 1053392233 on 2005-11-07, which is the date when the organization was assigned this unique identifier.
As of what date were the Child Neurology Center Of Northwest Florida Pa's details last updated?
The information pertaining to the Child Neurology Center Of Northwest Florida Pa, including its address, specialty, and other details, was most recently updated on 2009-03-03.