Pea Ridge Family Care Center Inc in Pensacola - Family Medicine
Pea Ridge Family Care Center Inc - NPI 1306822911
Pea Ridge Family Care Center Inc is a Family Medicine in Pensacola, Florida. Pea Ridge Family Care Center Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pea Ridge Family Care Center Inc is 1306822911. The last update date is 2011-12-12.
Pea Ridge Family Care Center Inc's current location address is Po Box 2276, Pensacola, Florida. You can contact this provider via phone number 8509958811 and fax number 8509958810. The mailing address for Pea Ridge Family Care Center Inc is Po Box 2276, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pea Ridge Family Care Center Inc |
|---|---|
| Address | Po Box 2276, Pensacola, Florida |
| Phone Number | 8509958811 |
| Fax Number | 8509958810 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Garg K. Purushottam |
| Credentials | MD |
| Telephone Number | 8509958811 |
NPI Number Detail
| NPI Number | 1306822911 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2011-12-12 |
Provider Mailing Address Detail
| Address | Po Box 2276 |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 325132276 |
| Phone Number | 8509958811 |
| Fax Number | 8509958810 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 251128200 | FL | -- | |
| 38616 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Pea Ridge Family Care Center Inc's 1306822911?
The Pea Ridge Family Care Center Inc's NPI (National Provider Identifier) Number is 1306822911. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Pea Ridge Family Care Center Inc is physically located?
The Pea Ridge Family Care Center Inc is physically situated at the following address: Po Box 2276, Pensacola, FL, 325132276.
What is Pea Ridge Family Care Center Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pea Ridge Family Care Center Inc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1306822911 to Pea Ridge Family Care Center Inc?
The Pea Ridge Family Care Center Inc received its 1306822911 assignment from the Centers for Medicare & Medicaid Services on 2005-12-16.
As of what date were the details related to Pea Ridge Family Care Center Inc most recently updated or revised?
The information pertaining to Pea Ridge Family Care Center Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-12.