# NILSSEN ORTHOPEDICS PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063812675
- **Authorized official:** ERIK C. NILSSEN MD (OWNER)
- **Authorized official phone:** (850) 916-8711

## Contact information

- **Practice address:** 9400 UNIVERSITY PKWY, SUITE 406, PENSACOLA, FL 32514-5752
- **Practice address phone:** (850) 916-8711
- **Practice address fax:** (850) 916-8629
- **Mailing address:** 1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
- **Mailing address phone:** (850) 916-8711
- **Mailing address fax:** (850) 916-8629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2014
- **Last updated:** 09/02/2014