Organization
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN DUNN (ADMINISTRATOR/CFO)
(850) 474-8988
Entity
Organization
Contact information
Practice address
5147 N 9TH AVE STE 311, PENSACOLA, FL 32504-8770
(850) 477-2597
(850) 478-7941
Mailing address
4828 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 476-5313
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176
HEALTH OPTIONS
FL
01
—
21821A
BCBS OF FLORIDA
FL
05
—
254428802
—
FL
05
—
529201330
—
AL
01
—
CM1536
RAILROAD MEDICARE
—
Enumeration date
02/08/2006
Last updated
02/28/2018
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