| The Hormone And Wellness Center | |
|
2507 Harrison Ave Panama City FL 32405-4424 | |
| (850) 215-4455 | |
| (850) 215-4492 |
| Full Name | The Hormone And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2507 Harrison Ave, Panama City, Florida |
| Authorized Official Name and Position | Michelle Hines Bautista (OWNER) |
| Authorized Official Contact | 8502154455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hormone And Wellness Center 4237 Dairy Farm Rd Panama City FL 32404-3099 Ph: (850) 215-4445 | The Hormone And Wellness Center 2507 Harrison Ave Panama City FL 32405-4424 Ph: (850) 215-4455 |
| NPI Number | 1881839124 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 12/14/2020 |
| Medicare PECOS PAC ID | 5092847301 |
|---|---|
| Medicare Enrollment ID | O20100722000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881839124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Michelle L Hines-bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326072398 PECOS PAC ID: 7517929953 Enrollment ID: I20041028000833 |
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