Organization

Panhandle Anesthesiology Associates Pa

Anesthesiology Physician in Pensacola, FL(View on Map)

Legal Business Name

Panhandle Anesthesiology Associates Pa

NPI Number

1568463008

NPI Type

Organization

Enumeration Date

08/09/2005

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

4901 GRANDE DR
4901 GRANDE DR

City

Pensacola
Pensacola

State

FL
FL

Postal Code

32504-5935
32504-5935

Country

US
US

Telephone Number

(850) 477-7042
(850) 477-7042

Authorized Official

Name

Manuel Siverio

Title or Position

ADMINISTRATOR

Telephone Number

(850) 477-7042

Identifiers

Identifier

99096
057404000
529000180
CB2233

Identifier State

FL
FL
AL
Unknown

Identifier Issuer

BLUE CROSS BLUE SHIELD
Unknown
ALABAMA MEDICAID
RAIL ROAD MEDICARE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/15/2015

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