institution
Beaches Family Practice Center
Specialist in Panama City, Florida
NPI 1629114541

Beaches Family Practice Center is a Specialist based in Panama City, FL. Beaches Family Practice Center practices in Panama City, FL. The NPI Number for Beaches Family Practice Center is 1629114541 and holds a License No. ME26512 (Florida).

The current practice location address for Beaches Family Practice Center is 230 S Highway 79, Panama City, FL and can be reached out via phone at 850-234-8811 and via fax at 850-234-8556.

Location: 230 S Highway 79, Panama City, FL, 32413-2151
institution
Provider Profile Details
NPI Number
1629114541
Provider Name
Beaches Family Practice Center
Credential
Provider Entity Type
Organization
Address
230 S Highway 79, Panama City, FL, 32413-2151
Phone Number
850-234-8811
Fax Number
850-234-8556
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76011 01 FL BLUE CROSS
3806 01 FL FLORIDA MEDICARE
institution
Provider Business Practice Location Address Details
Address
230 S Highway 79
City
State
Zip
32413-2151
Phone Number
850-234-8811
Fax Number
850-234-8556
person
Provider Business Mailing Address Details
Address
230 S Highway 79
City
State
Zip
32413-2151
Phone Number
850-234-8811
Fax Number
850-234-8556
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME26512 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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