| Pancare Of Florida, Inc | |
|
11033 Nw State Road 20 Bristol FL 32321-6406 | |
| (850) 643-1155 | |
| (850) 643-1163 |
| Full Name | Pancare Of Florida, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 11033 Nw State Road 20, Bristol, Florida |
| Authorized Official Name and Position | Laura Riley (BILLING MANAGER) |
| Authorized Official Contact | 8502153578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pancare Of Florida, Inc 403 E 11th St Panama City FL 32401-3409 Ph: (850) 747-5599 | Pancare Of Florida, Inc 11033 Nw State Road 20 Bristol FL 32321-6406 Ph: (850) 643-1155 |
| NPI Number | 1275346108 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275346108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |