Individual
DR. CHRISTOPHER J. BACANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME96365
FL
207R00000X
Internal Medicine Physician
ME96365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003846000
—
FL
01
—
14EU7
BLUE CROSS BLUE SHIELD
FL
01
—
593-07489
BLUE CROSS BLUE SHIELD
AL
01
—
593-07491
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/31/2006
Last updated
10/04/2012
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