Provider Demographics
NPI:1083619068
Name:SARKHOCHE, JOUMANA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOUMANA
Middle Name:
Last Name:SARKHOCHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 N DAVIS HWY
Mailing Address - Street 2:STE 3
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2063
Mailing Address - Country:US
Mailing Address - Phone:850-288-5500
Mailing Address - Fax:850-288-5502
Practice Address - Street 1:5500 N DAVIS HWY
Practice Address - Street 2:STE 3
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2063
Practice Address - Country:US
Practice Address - Phone:850-288-5500
Practice Address - Fax:850-288-5502
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77523207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL49557OtherBCBS
AL59035271OtherBCBS OF ALABAMA
FLA547OtherHEALTH OPTIONS
FL49557OtherBCBS
FL080154925Medicare ID - Type UnspecifiedRAILROAD MEDICARE
FLE3216Medicare ID - Type Unspecified