MEDICARE: RICHARD O NENSTIEL PAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA-143	AL
2	363AM0700X	Medical Physician Assistant	PA9115249	FL
3	363AS0400X	Surgical Physician Assistant	PA-143	AL
4	363AS0400X	Surgical Physician Assistant	PA9115249	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51540426	OTHER	AL	BC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053313312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD O NENSTIEL PAC

Provider Business Mailing Address
First Line	:	6701 AIRPORT BLVD
Second Line	:	SUITE D146
City	:	MOBILE
State	:	AL
Zip	:	36608
Country	:	US
Telephone Number	:	251-633-5155
Fax Number	:	251-633-5125

Provider Business Practice Location Address
First Line	:	1040 GULF BREEZE PKWY STE 200
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-7808
Country	:	US
Telephone Number	:	850-916-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	11/13/2023

Similar Medicare Providers

1972506723 — STEVE E JORDAN MD
Practice Location Address:

1040 GULF BREEZE PKWY STE 203
GULF BREEZE, FL
32561-7808

Practice Phone: 850-916-3700
Practice Fax: 850-916-3710

1528027422 — MICHAEL DARRELL MILLIGAN MD
Practice Location Address:

1040 GULF BREEZE PKWY , SUITE 200
GULF BREEZE, FL
32561-7808

Practice Phone: 850-916-3700
Practice Fax: 850-916-3710

1588621288 — MRS. AMANDA WHITLEY OT
Practice Location Address:

1040 GULF BREEZE PKWY STE 200
GULF BREEZE, FL
32561-7808

Practice Phone: 850-916-3700
Practice Fax: 850-916-3710

1194756668 — MR. CHARLES GARRETT BARNES P.A.
Practice Location Address:

1040 GULF BREEZE PKWY STE 209
GULF BREEZE, FL
32561-7808

Practice Phone: 850-916-3700
Practice Fax: 850-916-3710

1861585986 — STEVEN C KRONLAGE M.D.
Practice Location Address:

1040 GULF BREEZE PKWY , SUITE 209
GULF BREEZE, FL
32561-7808

Practice Phone: 850-916-8480
Practice Fax: 850-916-8499

1053486118 — JENNIFER JAYNE LYNCH RIGGS PA
Practice Location Address:

1040 GULF BREEZE PKWY STE 206
GULF BREEZE, FL
32561-7808

Practice Phone: 850-916-3700
Practice Fax: 850-916-8789

Directions to “ RICHARD O NENSTIEL PAC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.