Individual
REX L. NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 TRINITY DR, PENSACOLA, FL 32504-5708
(850) 416-7000
(850) 475-4619
Mailing address
PO BOX 2699, SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 475-4686
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME41317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009711190
—
AL
05
—
01054709
—
MS
05
—
0200362590
—
KS
05
—
04695776
—
MI
05
—
068375200
—
FL
Enumeration date
07/17/2006
Last updated
07/14/2014
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