MEDICARE: DR. JOUMANA SARKHOCHE MD

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	207Q00000X	Family Medicine Physician	ME77523	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	49557	OTHER	FL	BCBS
2	59035271	OTHER	AL	BCBS OF ALABAMA
3	A547	OTHER	FL	HEALTH OPTIONS

General Provider Information

NPI Number	:	1083619068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOUMANA SARKHOCHE MD

Provider Business Mailing Address
First Line	:	5500 N DAVIS HWY
Second Line	:	STE 3
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2063
Country	:	US
Telephone Number	:	850-288-5500
Fax Number	:	850-288-5502

Provider Business Practice Location Address
First Line	:	5500 N DAVIS HWY
Second Line	:	STE 3
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2063
Country	:	US
Telephone Number	:	850-288-5500
Fax Number	:	850-288-5502

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/15/2010

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