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Organization

EAR NOSE & THROAT- HEAD & NECK SURGERY OF PENSACOLA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES HENRY PENNINGTON M.D. (PRESIDENT)
(850) 475-9025
Entity
Organization

Contact information

Practice address
5147 N 9TH AVE, SUITE 325A, PENSACOLA, FL 32504-8771
(850) 475-9025
(850) 494-7855
Mailing address
5147 N 9TH AVE, SUITE 325A, PENSACOLA, FL 32504-8771
(850) 475-9025
(850) 494-7855

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME53420
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379142400
FL
05
529601510
AL
Enumeration date
12/06/2006
Last updated
12/02/2008
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