Organization
THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORTH J DAVIS MD (PRESIDENT)
(850) 438-1154
Entity
Organization
Contact information
Practice address
4724 N DAVIS HWY FL 2, PENSACOLA, FL 32503-2339
(850) 438-1154
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
(850) 438-1154
(850) 433-6034
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00047
BCBS OF FL
FL
01
—
00047A
BCBS OF FL
FL
01
—
00047C
BCBS OF FL
FL
05
—
001366800
—
FL
05
—
001366801
—
FL
05
—
001366802
—
FL
Enumeration date
06/03/2009
Last updated
04/11/2023
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