Healthcare Provider Details

I. General information

NPI: 1912916974
Provider Name (Legal Business Name): SACRED HEART HOSPITAL ER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 N 9TH AVE
PENSACOLA FL
32504-8721
US

IV. Provider business mailing address

5151 N 9TH AVE
PENSACOLA FL
32504-8721
US

V. Phone/Fax

Practice location:
  • Phone: 850-416-6670
  • Fax: 850-416-4694
Mailing address:
  • Phone: 850-416-6670
  • Fax: 850-416-4694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY M. PABLO
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 850-416-6670