| Pancare Of Florida, Inc | |
|
2309 E 15th St Panama City FL 32405-6345 | |
| (850) 747-5272 | |
| (850) 747-5274 |
| Full Name | Pancare Of Florida, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2309 E 15th St, Panama City, Florida |
| Authorized Official Name and Position | Robert Thompson (CEO) |
| Authorized Official Contact | 8507475599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 2309 E 15th St Panama City FL 32405-6345 Ph: (850) 747-5272 |
| NPI Number | 1366456287 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/27/2024 |
| Medicare PECOS PAC ID | 3476574229 |
|---|---|
| Medicare Enrollment ID | O20051208000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366456287 | NPI | - | NPPES |
| 689693600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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