Individual
DR. BLAINE MICHAEL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-2447
(850) 452-3842
Mailing address
220 HOVEY RD, PENSACOLA, FL 32508-1044
(850) 452-2447
(850) 452-3842
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
34005846
OH
207Q00000X
Family Medicine Physician
34-00-5846
OH
207Q00000X
Family Medicine Physician
W1087
TX
Other
Enumeration date
12/28/2005
Last updated
02/23/2026
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