Spanish Trail Family Physicians, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPANISH TRAIL FAMILY PHYSICIANS, PA

Practice address

3298 Summit Blvd
Ste 16
Pensacola, FL 32503

Phone

(850) 433-5544

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Don Buckley

Title

President

Phone

(850) 433-5544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912011669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD",
            "address_2": "STE 16",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-433-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD",
            "address_2": "STE 16",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-433-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH TRAIL FAMILY PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-433-5544"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Sowers, M.D.
• Spain Wellness Center Inc (Newlin Chiropractic)
• George William Spain, D.C.
• Kathleen L Spalla, PHYSICIAN ASSISTANCE
• Spanish Trail Dentistry, PA
• Darnita Spann, PT, DPT
• Olivia Grace Spann
• Shannon Leigh Spann, LCSW
• Cheri Lynn Sparks, PH.D.
• Dana Sparks, PA-C, ATC

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.