ENDOSCOPY GROUP LLC NPI 1003889346

NPI Information

NPI: 1003889346
Provider Name: ENDOSCOPY GROUP LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4810 N DAVIS HWY
PENSACOLA, FL
ZIP 32503
Phone: (850) 474-8988
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ENDOSCOPY GROUP LLC is an ambulatory surgical clinic center in Pensacola, FL. ENDOSCOPY GROUP LLC NPI is 1003889346. The provider is registered as an organization entity type.

The provider's business location address is:

4810 N DAVIS HWY
PENSACOLA, FL
ZIP 32503-341
Phone: (850) 474-8988
Fax: (850) 478-9903

The provider's authorized official is Stephen Dunn .
The authorized official title is Administrator/cfo and has the following contact phone number (850) 474-8988.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 3/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5121097	OTHER		AETNA
2	65B	OTHER		HEALTH OPTIONS
3	987585	OTHER		USA HEALTH NETWORK
4	079204700	MEDICAID	FLORIDA
5	3804534	OTHER		CIGNA
6	=========	OTHER		TRICARE/CHAMPUS
7	490003997	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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