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Organization

PENSACOLA SPINE AND SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC SHOEMAKER D.O. (PHYSICIAN)
(970) 217-1739
Entity
Organization

Contact information

Practice address
6792 LEEPARD RD, MILTON, FL 32583-3343
(970) 217-1739
Mailing address
6792 LEEPARD RD, MILTON, FL 32583-3343
(970) 217-1739

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS13075
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14406200
FL
Enumeration date
04/11/2016
Last updated
04/11/2016
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