JEAN BERNARD LE GALL


Address: 190 E. Intendencia Street, Suite A-28, Pensacola, FL 32502-5806
Phone: 8509086810

JEAN BERNARD LE GALL (NPI# 1982857579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982857579
Entity Type Individual
Full Name JEAN BERNARD LE GALL
Credential P.A.
Practice Address 190 E. Intendencia Street
Suite A-28
Pensacola
FL 32502-5806
Mailing Address Po Box 17567
Pensacola
FL 32522-7567
Practice Telephone 8509086810
Enumeration Date 2008-10-28
Last Update Date 2018-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9111202 FL Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 0249870000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
126 Missouri Ave, Fort Leonard Wood, MO 654738952 5735960131

Office Location

Street Address 190 E. INTENDENCIA STREET
SUITE A-28
City PENSACOLA
State FL
Zip Code 32502-5806

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1275199762 Anita Kay Morris Marriage & Family Therapist 25 W Cedar St Ste 205, Pensacola, FL 32502 2019-05-10
1013409028 Everydaydoctor Inc Internal Medicine 13 Palafox Pl Ste 200, Pensacola, FL 32502 2018-06-05
1780119115 Felisha Palmer Nurse's Aide 619 W Gregory St Apt A, Pensacola, FL 32502 2017-04-24
1619428257 Young Men's Christian Association of Northwest Florida, Inc. Health Educator 165 E.intendencia Street, Pensacola, FL 32502 2016-10-19
1972968386 Lauren Reeves Counselor 435 E Zarragossa St, Pensacola, FL 32502 2015-12-30
1902202492 Amabel Arquillano Physical Therapist 600 West Gregory Street, Pensacol, FL 32502 2014-11-10
1639579568 Community Experiences LLC Home Health 321 N Devillers St Suite 221, Pensacola, FL 32502 2014-08-28
1831523612 Our Lady of Angels, St. Joseph Medical Clinic, Inc Clinic/Center 131 W. Intendencia St., Pensacola, FL 32502 2013-08-28
1295013266 Sabrina Gail Evans Family Medicine 236 West Garden Street, Pensacola, FL 32502 2011-07-25
1356538771 Optum Infusion Services 204, Inc. Pharmacy 201 N. Tarragona Street, Pensacola, FL 32502 2007-09-30
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518593326 Shelby Jane Carson Physician Assistant 8333 N Davis Hwy Fl 3, Pensacola, FL 32514-6050 2020-03-13
1477194934 Alyssa Brooke Mayer Physician Assistant 4501 N Davis Hwy Ste A, Pensacola, FL 32503-2724 2019-10-04
1720638448 Frances Ponsuwan Bell Physician Assistant 5151 N 9th Ave # 200, Pensacola, FL 32504-8721 2019-09-14
1881242022 Kendall Hoover Physician Assistant 190 E Intendencia St # A-28, Pensacola, FL 32502-5806 2019-08-30
1477047181 Taylor Elaine Morrison Physician Assistant 4901 Marketplace Road, Pensacola, FL 32504-8986 2018-06-15
1245771591 Tina Rayfield Physician Assistant 12480 Seratine Dr, Pensacola, FL 32506-9601 2017-03-19
1891166344 Kevin Lacz Physician Assistant 100 S Baylen St, Suite A, Pensacola, FL 32502-5825 2015-10-09
1831448653 Hillary H. Doussan Physician Assistant 8333 N. Davis Hwy, Pensacola, FL 32514-6050 2012-09-07
1891004560 Lauren Andrea Treven Physician Assistant 3205 E Olive Rd, Apt 80, Pensacola, FL 32514-7239 2010-09-29
1285948703 Sarah Grace Purdy Physician Assistant 5503 Admiral Doyle Rd, Pensacola, FL 32506-5353 2010-07-27
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City PENSACOLA
Zip Code 32502

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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