Organization
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER CEO (CEO)
(786) 530-3820
Entity
Organization
Contact information
Practice address
4810 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 474-8988
(850) 476-5312
Mailing address
4810 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 474-8988
(850) 476-5312
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529921190
MEDICAID OF AL
AL
01
—
K0360
MEDICARE FLORIDA
FL
Enumeration date
10/03/2006
Last updated
05/16/2025
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