Individual ProviderAlice Szymanski BohannonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address543 Fontaine St Ste B, Pensacola, FL 32503-2058(850) 474-0155(850) 207-7527PECOS EnrollmentBased on the most recent information from CMS, provider Alice Szymanski Bohannon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1679051338Provider TypeIndividualFull NameBohannon, Alice SzymanskiGenderFemaleSole ProprietorNoEnumeration Date8/3/2018Last Updated8/3/2018Contact InformationPractice LocationPractice Address543 Fontaine St Ste B, Pensacola, FL 32503-2058Phone(850) 474-0155FaxUnlisted FaxMailing LocationMailing Address1112 Maldonado Dr, Pensacola Beach, FL 32561-2242Phone(850) 207-7527FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1062162Florida