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PANHANDLE ORTHOPAEDICS LLC NPI 1134463482


NPI Information

NPI: 1134463482
Provider Name: PANHANDLE ORTHOPAEDICS LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 10D1088231

Address:
12909 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL
ZIP 32407
Phone: (850) 784-7724
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PANHANDLE ORTHOPAEDICS LLC is an orthopaedic surgery in Panama City Beach, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. PANHANDLE ORTHOPAEDICS LLC NPI is 1134463482. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12909 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL
ZIP 32407
Phone: (850) 784-7724
Fax: (850) 784-4711

The provider's authorized official is Michael D Gilmore .
The authorized official title is President/owner and has the following contact phone number (850) 398-8480.

The CLIA number assigned to this NPI record is 10D1088231 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 8/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080S0010XPediatricsSports MedicineFLORIDANo
22081S0010XPhysical Medicine & RehabilitationSports MedicineFLORIDANo
3225100000XPhysical TherapistFLORIDANo
4207XX0005XOrthopaedic SurgerySports MedicineFLORIDANo
52251X0800XPhysical TherapistOrthopedicFLORIDANo
6225200000XPhysical Therapy AssistantFLORIDANo
7363A00000XPhysician AssistantFLORIDANo
8363AS0400XPhysician AssistantSurgicalFLORIDANo
9207X00000XOrthopaedic SurgeryFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004K2OTHERFLORIDABLUE CROSS BLUE SHIELD OF FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.