Gargus, Regina Ann Kollmer
Gargus, Regina Ann Kollmer is an individual health care provider with primary practice located at 5192 Bayou Blvd , Pensacola FL 32503-2102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Gargus, Regina Ann Kollmer can be contacted via phone (850) 416-2124.Contact Information
Primary practice address
5192 Bayou Blvd
Pensacola FL 32503-2102
Phone: (850) 416-2124
Fax: (850) 416-2126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | E4444 | Arkansas |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 44166 | Tennessee |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | ME131164 | Florida |
Profile Details
| NPI number | 1962579474 |
|---|---|
| LBN Legal business name | Gargus, Regina Ann Kollmer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Oct 24th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962579474 | NPPES |
| Florida | Other | 1962579474 | NPI |
| Florida | MEDICAID | 021603200 | NPI |
| Florida | MEDICAID | 158026001 | NPI |
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