| Linda K Fox Md Pa | |
|
619 N Cove Blvd Ste D Panama City FL 32401-3642 | |
| (850) 215-4369 | |
| (850) 769-2366 |
| Full Name | Linda K Fox Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 619 N Cove Blvd Ste D, Panama City, Florida |
| Authorized Official Name and Position | Linda K Fox (OWNER) |
| Authorized Official Contact | 8502154369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda K Fox Md Pa 619 Cove Blve Ste D Panama City FL 32401 Ph: (850) 215-4369 | Linda K Fox Md Pa 619 N Cove Blvd Ste D Panama City FL 32401-3642 Ph: (850) 215-4369 |
| NPI Number | 1053331058 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 12/23/2009 |
| Medicare PECOS PAC ID | 0749224780 |
|---|---|
| Medicare Enrollment ID | O20050610000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053331058 | NPI | - | NPPES |
| 266757600 | Medicaid | FL | |
| 62994 | Other | FL | BCBS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME80127 (Florida) | Primary |
| Provider Name | Linda K Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386621837 PECOS PAC ID: 4587612684 Enrollment ID: I20050105000726 |
| Provider Name | Jody Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457657926 PECOS PAC ID: 0143464255 Enrollment ID: I20130911000370 |
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