Individual
ANDREW DOMINICK BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5151 N 9TH AVE # ER, PENSACOLA, FL 32504-8721
(850) 416-7000
(850) 475-4781
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-7000
(850) 475-4781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS11646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063415-00
—
FL
01
—
14KQ8
BCBS FL
FL
Enumeration date
06/16/2009
Last updated
02/12/2024
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