Florida Wellness Group | |
12111 Panama City Beach Pkwy Panama City Beach FL 32407-2609 | |
(850) 588-1066 | |
Not Available |
Full Name | Florida Wellness Group |
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Speciality | Family Medicine |
Location | 12111 Panama City Beach Pkwy, Panama City Beach, Florida |
Authorized Official Name and Position | M Terry Ullmann (PRESIDENT) |
Authorized Official Contact | 8505881066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Florida Wellness Group 12111 Panama City Beach Pkwy Panama City Beach FL 32407-2609 Ph: () - | Florida Wellness Group 12111 Panama City Beach Pkwy Panama City Beach FL 32407-2609 Ph: (850) 588-1066 |
NPI Number | 1407406820 |
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Provider Enumeration Date | 09/17/2019 |
Last Update Date | 06/29/2020 |
Medicare PECOS PAC ID | 8921432683 |
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Medicare Enrollment ID | O20200106001113 |
Identifier | Type | State | Issuer |
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1407406820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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