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PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC NPI 1467085902


NPI Information

NPI: 1467085902
Provider Name: PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
12591 SORRENTO RD STE A
PENSACOLA, FL
ZIP 32507
Phone: (850) 262-8645
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PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC is a medical specialty clinic center in Pensacola, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PEDIATRIC RHEUMATOLOGY ASSOCIATES LLC NPI is 1467085902. The provider is registered as an organization entity type.

The provider's business location address is:

12591 SORRENTO RD STE A
PENSACOLA, FL
ZIP 32507-754
Phone: (850) 262-8645
Fax: (850) 262-8647

The provider's authorized official is Adam Kuettel .
The authorized official title is Ceo and has the following contact phone number (850) 262-8645.

The enumeration date for this NPI number is 2/12/2020 and was last updated on 10/7/2020.


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
1291U00000XClinical Medical LaboratoryNo
2261Q00000XClinic/CenterNo
3261QI0500XClinic/CenterInfusion TherapyNo
4332900000XNon-Pharmacy Dispensing SiteNo
5261QM2500XClinic/CenterMedical SpecialtyYes

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

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