Brent D Videau in Pensacola - Cardiovascular Disease

Brent D Videau - NPI 1730189192

Brent D Videau is a Cardiovascular Disease in Pensacola, Florida. Brent D Videau practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Brent D Videau is 1730189192. The last update date is 2018-09-18.

Brent D Videau's current location address is 1717 N E St, Pensacola, Florida. You can contact this provider via phone number 8504441772 and fax number 8505871747. The mailing address for Brent D Videau is 1717 N E St, Pensacola, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent D Videau
Address 1717 N E St, Pensacola, Florida
Phone Number 8504441772
Fax Number 8505871747
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730189192
Provider Enumeration Date 2005-07-28
Last Updated Date 2018-09-18

Provider Mailing Address Detail

Address 1717 N E St
City Pensacola
State Florida (FL)
Post Code 325016339
Phone Number 8504441772
Fax Number 8505871747

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No ME66107
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9946875 AL --
3756599 00 FL --

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FAQs about Brent D Videau

What is the unique 10-digit identification code issued to Brent D Videau by the Centers for Medicare & Medicaid Services?

The Brent D Videau has been assigned the NPI (National Provider Identifier) 1730189192 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Brent D Videau?

The Brent D Videau is physically situated at 1717 N E St, in the city of Pensacola, state of FL, with the postal code 325016339.

What is Brent D Videau'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 Brent D Videau is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.

On what date did Brent D Videau receive its 1730189192 assignment from the Centers for Medicare & Medicaid Services?

The Brent D Videau was assigned its 1730189192 on 2005-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Brent D Videau, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brent D Videau, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-18.

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