NPIMap

Organization Active NPI

Pensacola Primary Care Inc

Doing business as West Florida Primary Care - Kingsfield

  • Family Medicine Physician
  • Cantonment, FL
National Provider Identifier
1386781342
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PENSACOLA PRIMARY CARE INC
Doing business as
West Florida Primary Care - Kingsfield
Practice address
2360 U.S. Highway 29 South
Cantonment, FL 32533
Phone
(850) 968-2083
Fax
(850) 968-6024
NPI assigned
Jan 31, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Mr. Mickey Pickler
Title
Vice President
Phone
(850) 523-2117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2360 U.S. Highway 29 South
Cantonment, FL 32533

Mailing address

2360 U.S. Highway 29 South
Cantonment, FL 32533
Phone (850) 968-2083

Other names 1

  • West Florida Primary Care - Kingsfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pensacola Primary Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1386781342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 U.S. HIGHWAY 29 SOUTH",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "32533",
            "telephone_number": "850-968-2083",
            "fax_number": "850-968-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 U.S. HIGHWAY 29 SOUTH",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "32533",
            "telephone_number": "850-968-2083",
            "fax_number": "850-968-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "850-523-2117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Florida Primary Care - Kingsfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cantonment, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.