| Spikes Medical, Llc | |
|
3238 W Highway 390 Panama City FL 32405-2718 | |
| (850) 481-0846 | |
| Not Available |
| Full Name | Spikes Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3238 W Highway 390, Panama City, Florida |
| Authorized Official Name and Position | Rachel Denise Spikes (MANAGER) |
| Authorized Official Contact | 8508143003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spikes Medical, Llc 3238 W Highway 390 Panama City FL 32405-2718 Ph: (850) 481-0846 | Spikes Medical, Llc 3238 W Highway 390 Panama City FL 32405-2718 Ph: (850) 481-0846 |
| NPI Number | 1831477272 |
|---|---|
| Provider Enumeration Date | 08/03/2011 |
| Last Update Date | 08/18/2011 |
| Medicare PECOS PAC ID | 1456518299 |
|---|---|
| Medicare Enrollment ID | O20120206000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831477272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP9242085 (Florida) | Primary |
| Provider Name | Rachel Spikes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386916500 PECOS PAC ID: 4183881931 Enrollment ID: I20120206000547 |
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