Individual
FELIX ERMOLENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4451 BAYOU BLVD, PENSACOLA, FL 32503-2601
(850) 416-2477
(850) 416-7520
Mailing address
PO BOX 2699, ATTN: SHMG/HPE, PENSACOLA, FL 32513-2699
(850) 416-7800
(850) 416-4937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265034700
—
FL
01
—
P00756972
MEDICARE RAILROAD
FL
Enumeration date
05/17/2006
Last updated
02/25/2016
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