MEDICARE: PENSACOLA FAMILY PRACTICE

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	261QP2300X	Primary Care Clinic/Center	ME77523	FL

General Provider Information

NPI Number	:	1609146760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENSACOLA FAMILY PRACTICE

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

Authorized Official
Title or Position	:	M.D./OWNER
Name	:	DR. JOUMANA SARKHOCHE
Credential	:	M.D.
Telephone Number	:	850-288-5500

Provider Enumeration Date	:	01/06/2012
Last Update Date	:	01/06/2012

Similar Medicare Providers

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Practice Location Address:

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1013910579 — DR. MARCUS E. PAUL DMD
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Directions to “PENSACOLA FAMILY PRACTICE ” Practice Location

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