Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME105155 | FL |
N | 208600000X | Surgeon | ME105155 | FL |
Y | 2086S0102X | Surgical Critical Care | ME105155 | FL |
N | 2086S0127X | Trauma Surgeon | ME105155 | FL |
NPI | 1225287923 |
---|---|
Provider Name | Richard D Sontchi |
First Address | Pensacola, FL 32513-2699 |
Second Address | Pensacola, FL 32504-8756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2008 |
Last Update Date | 16/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001719200 | (05) | FL |