| Tmh Physician Partners Panama City | |
|
651 Grand Panama Blvd Bldg. B-2, Ste. 100/101 Panama City Beach FL 32407-3458 | |
| (850) 234-3087 | |
| (850) 235-2362 |
| Full Name | Tmh Physician Partners Panama City |
|---|---|
| Speciality | Family Medicine |
| Location | 651 Grand Panama Blvd, Panama City Beach, Florida |
| Authorized Official Name and Position | Robin L Moss (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8504316256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmh Physician Partners Panama City 1607 Saint James Ct Ste 1 Tallahassee FL 32308-5352 Ph: () - | Tmh Physician Partners Panama City 651 Grand Panama Blvd Bldg. B-2, Ste. 100/101 Panama City Beach FL 32407-3458 Ph: (850) 234-3087 |
| NPI Number | 1316682941 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 6103724778 |
|---|---|
| Medicare Enrollment ID | O20220930002012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316682941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura A Yauch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407807779 PECOS PAC ID: 3072526839 Enrollment ID: I20060720000214 |
| Provider Name | Travis Lee Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396239547 PECOS PAC ID: 5890047328 Enrollment ID: I20181011001595 |
| Provider Name | John William Woltz |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1669544151 PECOS PAC ID: 5890868640 Enrollment ID: I20200421000503 |
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