# MEDICAL PROFESSIONAL AGENCY INC

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

## Provider details

- **NPI number:** 1427174762
- **Authorized official:** REBECCA ROGERS (BILLING COORDINATOR)
- **Authorized official phone:** (850) 623-2948

## Contact information

- **Practice address:** 9400 UNIVERSITY PKWY, 101C, PENSACOLA, FL 32514-5752
- **Practice address phone:** (850) 623-2948
- **Practice address fax:** (850) 626-2734
- **Mailing address:** PO BOX 893, MILTON, FL 32572-0893
- **Mailing address phone:** (850) 623-2948
- **Mailing address fax:** (850) 626-2734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 04/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24847 | BLUE CROSS BLUE SHIELD | FL |
| 05 | — | 254839924 | — | FL |
| 01 | — | CC1458 | RAILROAD MEDICARE | FL |