Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME122919 | FL |
NPI | 1073611703 |
---|---|
Provider Name | Robert Bryce Turnage |
First Address | Pensacola, FL 32501-6335 |
Second Address | Pensacola, FL 32501-6335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 14/01/2022 |