MEDICARE: DR. NIR JOSEPH HUS M.D., PH.D.

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	208600000X	Surgery	ME112915	FL
2	2086S0102X	Surgical Critical Care	ME112915	FL

General Provider Information

NPI Number	:	1699081117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIR JOSEPH HUS M.D., PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 2699
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32513-2699
Country	:	US
Telephone Number	:	850-475-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5149 N 9TH AVE
Second Line	:	SUITE 246
City	:	PENSACOLA
State	:	FL
Zip	:	32504-8756
Country	:	US
Telephone Number	:	850-416-6159
Fax Number	:

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

Provider Enumeration Date	:	08/21/2010
Last Update Date	:	10/22/2012

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