Organization · Type 2 NPI

Lifeline Pensacola, LLC

Vascular & Interventional Radiology Physician · Pensacola, FL

NPI number 1083950356 Active

Practice location

1851 N 9th Ave Ste B
Pensacola, FL 32503-5201

Fax (850) 432-0802

Mailing address

PO Box 782412
Philadelphia, PA 19178-2412

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician 207RN0300XNone listed
Vascular & Interventional Radiology Physician Primary 2085R0204XNone listed
Vascular Surgery Physician 2086S0129XNone listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1083950356

Lifeline Pensacola, LLC's National Provider Identifier is 1083950356, issued on Dec 14, 2012. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Pensacola, FL. The record was last updated on Jun 30, 2021.