| Fridley Roemer Health Care Services Inc. | |
|
644 Florida Ave Unit E Panama City FL 32401-6355 | |
| (850) 896-1387 | |
| Not Available |
| Full Name | Fridley Roemer Health Care Services Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 644 Florida Ave, Panama City, Florida |
| Authorized Official Name and Position | Linda Roemer (OWNER/PROVIDER) |
| Authorized Official Contact | 8508961387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fridley Roemer Health Care Services Inc. 644 Florida Ave Unit E Panama City FL 32401-6355 Ph: (850) 896-1387 | Fridley Roemer Health Care Services Inc. 644 Florida Ave Unit E Panama City FL 32401-6355 Ph: (850) 896-1387 |
| NPI Number | 1205807914 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205807914 | NPI | - | NPPES |
| 1376612 | Other | FL | MSC. IDENTIFIER STATE LIC |
| R49453 | Other | NM | STATE LICENSE # |
| Y6683 | Other | FL | BLUE CROSS BLUE SHIELD |
| 00200184549 | Medicaid | FL | |
| TRICARE STANDARD | Other | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | NP1376612 (Florida) | Primary |
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