Infectious Diseases Expert Group of NW Florida LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME101155 Issued in FL

Legal business name

INFECTIOUS DISEASES EXPERT GROUP OF NW FLORIDA LLC

Practice address

9013 University Pkwy
Suite H
Pensacola, FL 32514-9416

Phone

(850) 912-8433

Fax

(850) 912-8584

NPI assigned

Apr 23, 2012

Organization subpart

Yes

Parent organization

DR. ISSA EPHTIMIOSAs reported in NPPES

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

Authorized official

Name

Dr. Issa E. Ephtimios, MD

Title

Managing Member

Phone

(850) 912-8433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1407113897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PKWY",
            "address_2": "SUITE H",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-912-8433",
            "fax_number": "850-912-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PKWY",
            "address_2": "SUITE H",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-912-8433",
            "fax_number": "850-912-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASES EXPERT GROUP OF NW FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. ISSA EPHTIMIOS",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "EPHTIMIOS",
        "authorized_official_first_name": "ISSA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "850-912-8433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME101155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Craig Andrew Ingermann, PA-C
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• Kelly Patton Ingram, CRNA
• Inher Physique LLC

• Specialist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.