Organization Active NPI

Medical Command Clinical Practice of Florida PA

  • Licensed Practical Nurse
  • Pensacola, FL
National Provider Identifier
1124493879
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
MEDICAL COMMAND CLINICAL PRACTICE OF FLORIDA PA
Practice address
850 S Palafox St
Suite 101
Pensacola, FL 32502-5983
Phone
(214) 712-2815
Fax
(888) 491-7218
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory Byrne, M.D.
Title
Presdient/Director
Phone
(214) 712-2815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

850 S Palafox St
Suite 101
Pensacola, FL 32502-5983

Mailing address

PO Box 785186
Philadelphia, PA 19178-5186
Phone (214) 712-2815

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1124493879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785186",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191785186",
            "telephone_number": "214-712-2815",
            "fax_number": "888-491-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S PALAFOX ST",
            "address_2": "SUITE 101",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025983",
            "telephone_number": "214-712-2815",
            "fax_number": "888-491-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COMMAND CLINICAL PRACTICE OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESDIENT/DIRECTOR",
        "authorized_official_telephone_number": "214-712-2815",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.