Organization
MICHAEL L DUPUIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L DUPUIS MD (PRESIDENT)
(850) 982-8025
Entity
Organization
Contact information
Practice address
3107 N H ST, PENSACOLA, FL 32501-1111
(850) 982-8025
Mailing address
PO BOX 6640, PENSACOLA, FL 32503-0640
(850) 982-8025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME26893
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME26893
FL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
ME26893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57485600
—
FL
Enumeration date
11/17/2006
Last updated
07/29/2010
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