Organization
THE DIABETES AND ENDOCRINE CENTER OF PENSACOLA LLC
Active
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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