# NILSSEN ORTHOPEDICS PA

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

## Provider details

- **NPI number:** 1811340078
- **Authorized official:** ERIK C NILSSEN MD (OWNER)
- **Authorized official phone:** (850) 916-3700

## Contact information

- **Practice address:** 825 E BURGESS RD, PENSACOLA, FL 32504-7001
- **Practice address phone:** (850) 435-4800
- **Practice address fax:** (850) 916-3710
- **Mailing address:** 1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 32561-7809
- **Mailing address phone:** (850) 916-3700
- **Mailing address fax:** (850) 916-3710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | Yes |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2016
- **Last updated:** 01/18/2017