Videau, Brent D

Videau, Brent D is an individual health care provider with primary practice located at 125 Baptist Way Ste 3A , Pensacola FL 32503-2274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hypertension Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Videau, Brent D can be contacted via phone (448) 227-6500.

Contact Information

Primary practice address
125 Baptist Way Ste 3A Pensacola FL 32503-2274
Phone: (448) 227-6500
Fax: (578) 571-7478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hypertension Specialist 207RH0005X 66107 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME66107 Florida

Profile Details

NPI number 1730189192
LBN Legal business name Videau, Brent D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jan 19th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730189192 NPPES
Alabama MEDICAID 009946875
Alabama MEDICAID 3756599 00

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