Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pensacola Pediatrics PA

Organization Pediatrics Physician · NPI 1013680651

Pensacola Pediatrics PA is a Pediatrics Physician in Gulf Breeze, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1368 Country Club Rd
Gulf Breeze, FL 32563-3471
Phone: (850) 934-9876
Fax: (850) 916-0736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1013680651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Heckathorn — Administrator · (850) 473-0100
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021
Mailing address4951 Grande Dr, Pensacola, FL 32504-8965

Other providers in Gulf Breeze