Organization
THE DIABETES AND ENDOCRINE CENTER OF PENSACOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHNU NARAYAN BEHARI M.D. (CHIEF EXECUTIVE OFFICER)
(850) 208-3848
Entity
Organization
Contact information
Practice address
6160 N DAVIS HWY, SUITE 10A, PENSACOLA, FL 32504-6994
(850) 208-3848
(850) 208-3848
Mailing address
6160 N DAVIS HWY, SUITE 10A, PENSACOLA, FL 32504-6994
(850) 208-3848
(850) 476-0602
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
98582
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279086600
—
FL
Enumeration date
01/19/2016
Last updated
11/02/2016
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