| Layla Renee Lundquist-smith Md, Llc | |
|
2114 Creighton Rd Pensacola FL 32504-7218 | |
| (850) 848-9500 | |
| (850) 901-0009 |
| Full Name | Layla Renee Lundquist-smith Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2114 Creighton Rd, Pensacola, Florida |
| Authorized Official Name and Position | Layla Lundquist-smith (SOLE OWNER) |
| Authorized Official Contact | 8505294960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Layla Renee Lundquist-smith Md, Llc 2114 Creighton Rd Pensacola FL 32504-7218 Ph: (850) 848-9500 | Layla Renee Lundquist-smith Md, Llc 2114 Creighton Rd Pensacola FL 32504-7218 Ph: (850) 848-9500 |
| NPI Number | 1679179543 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 07/08/2026 |
| Medicare PECOS PAC ID | 4486068699 |
|---|---|
| Medicare Enrollment ID | O20210129001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679179543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Layla Renee Lundquist-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538452073 PECOS PAC ID: 6103043369 Enrollment ID: I20210129001970 |
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