Provider Demographics
NPI:1942207352
Name:ASMAR, PHILIP E (MD)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:E
Last Name:ASMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12356
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32591-2356
Mailing Address - Country:US
Mailing Address - Phone:850-529-1919
Mailing Address - Fax:850-607-8006
Practice Address - Street 1:2741 DUNSINANE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-5814
Practice Address - Country:US
Practice Address - Phone:850-529-1919
Practice Address - Fax:850-607-8006
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000037590207L00000X
FLME 85156207L00000X
NC73023207L00000X
AL33357207L00000X
FLME85156208VP0000X
GA72256207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCJ512UOtherMEDICARE PTAN
FL3886108Medicaid
FLCJ512UOtherMEDICARE PTAN
TN3886108Medicare ID - Type Unspecified