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

Pensacola Pediatrics, PA

Organization Pediatrics Physician · NPI 1790451508

Pensacola Pediatrics, PA is a Pediatrics Physician in Pensacola, Florida. Works from 2 locations. 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.

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Practice location Address checks out

965 E Nine Mile Rd
Pensacola, FL 32514-1648
Phone: (850) 466-3776
Fax: (850) 497-6939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2120 E Johnson Ave Ste 103, Pensacola, FL 32514-6091 — (850) 473-0100

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1790451508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Heckathorn — Administrator · (850) 473-0100
NPI enumeratedAugust 20, 2021
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address4951 Grande Dr, Pensacola, FL 32504-8965

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