| Doctors Diet Program of Florida | |
|
6420 N 9th Ave Pensacola FL 32504-7322 | |
| (850) 494-2039 | |
| (850) 494-2043 |
| Full Name | Doctors Diet Program of Florida |
|---|---|
| Speciality | General Practice |
| Location | 6420 N 9th Ave, Pensacola, Florida |
| Authorized Official Name and Position | David Edward Miller (OWNER) |
| Authorized Official Contact | 8504392039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Diet Program of Florida 6420 N 9th Ave Pensacola FL 32504-7322 Ph: (850) 494-2039 | Doctors Diet Program of Florida 6420 N 9th Ave Pensacola FL 32504-7322 Ph: (850) 494-2039 |
| NPI Number | 1053665836 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053665836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS9816-FL (Florida) | Primary |
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