| Heather Shaffer Md Pa | |
|
1937 Harrison Ave Panama City FL 32405-4543 | |
| (850) 785-3464 | |
| (850) 785-2791 |
| Full Name | Heather Shaffer Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1937 Harrison Ave, Panama City, Florida |
| Authorized Official Name and Position | Heather S Zawahry (PRESIDENT) |
| Authorized Official Contact | 8507853464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Shaffer Md Pa Po Box 1280 Panama City FL 32402-1280 Ph: (850) 785-3464 | Heather Shaffer Md Pa 1937 Harrison Ave Panama City FL 32405-4543 Ph: (850) 785-3464 |
| NPI Number | 1790877512 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 03/21/2013 |
| Medicare PECOS PAC ID | 9234236514 |
|---|---|
| Medicare Enrollment ID | O20070522000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790877512 | NPI | - | NPPES |
| 267798900 | Medicaid | FL | |
| 81116 | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME84800 (Florida) | Primary |
| Provider Name | Heather S Zawahry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902867567 PECOS PAC ID: 6103724067 Enrollment ID: I20031230000215 |
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