Healthcare Provider Details

I. General information

NPI: 1265503049
Provider Name (Legal Business Name): MICHAEL HAMMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5028 N DAVIS HWY
PENSACOLA FL
32503-2345
US

IV. Provider business mailing address

5028 N DAVIS HWY
PENSACOLA FL
32503-2345
US

V. Phone/Fax

Practice location:
  • Phone: 850-494-0000
  • Fax: 850-494-0001
Mailing address:
  • Phone: 850-494-0000
  • Fax: 850-494-0001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME102996
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: