Healthcare Provider Details

I. General information

NPI: 1003857558
Provider Name (Legal Business Name): ZOLTAN T ERDOS, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 NORTH E ST STE 523
PENSACOLA FL
32501
US

IV. Provider business mailing address

1717 NORTH E ST STE 523
PENSACOLA FL
32501
US

V. Phone/Fax

Practice location:
  • Phone: 850-469-0799
  • Fax: 850-469-0792
Mailing address:
  • Phone: 850-469-0799
  • Fax: 850-469-0792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. TERI H BILBREY
Title or Position: OFFICE MANAGER
Credential:
Phone: 850-469-0799