Fl Neuro Pain And Spine Center, .p.a. | |
2614 Jenks Ave, Panama City, FL 32405-4311 | |
(850) 215-3000 | |
(850) 215-3150 |
Full Name | Fl Neuro Pain And Spine Center, .p.a. |
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Type | Facility |
Speciality | Clinic/center - Health Service |
Location | 2614 Jenks Ave, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194034397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | CH 10072 (Florida) | Primary |
Provider Name | John J O Connell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720028186 PECOS PAC ID: 7113986696 Enrollment ID: I20041008001185 |
Provider Name | Wesley J Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902112170 PECOS PAC ID: 2466614177 Enrollment ID: I20120425000495 |
Provider Name | Bryan L Pruess |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679071799 PECOS PAC ID: 6002177078 Enrollment ID: I20180308000840 |
Provider Name | Melinda Luther |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942638341 PECOS PAC ID: 6608006911 Enrollment ID: I20181106002221 |
Provider Name | Cory A Imhof |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1215259320 PECOS PAC ID: 0648424895 Enrollment ID: I20211201002962 |
Provider Name | Nicole Marie Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710670013 PECOS PAC ID: 6800235623 Enrollment ID: I20240412002421 |
Mailing Address | Practice Location Address |
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Fl Neuro Pain And Spine Center, .p.a. 2614 Jenks Ave, Panama City, FL 32405-4311 Ph: (850) 215-3000 | Fl Neuro Pain And Spine Center, .p.a. 2614 Jenks Ave, Panama City, FL 32405-4311 Ph: (850) 215-3000 |