Healthcare Provider Details

I. General information

NPI: 1669104881
Provider Name (Legal Business Name): CHEUK H KWOK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
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: 850-416-7000
  • Fax:
Mailing address:
  • Phone: 850-416-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberME173241
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: