Organization
PENSACOLA ORTHOPAEDICS & SPORTS MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLA TURBERVILLE (CREDENTIALING MANAGER)
(850) 474-9995
Entity
Organization
Contact information
Practice address
5147 N 9TH AVE, SUITE 322, PENSACOLA, FL 32504-8710
(850) 474-9995
(850) 477-6021
Mailing address
5147 N 9TH AVE, SUITE 322, PENSACOLA, FL 32504-8710
(850) 474-9995
(850) 477-6021
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265146700
—
FL
05
—
529914580
—
AL
Enumeration date
11/17/2005
Last updated
01/21/2010
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