SMC2 NPI 1235859646

NPI Information

  • NPI: 1235859646
  • Provider Name: SMC2
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 215 W 6TH ST
    PANAMA CITY, FL
    ZIP 32401
  • Phone: (508) 527-6489

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NPI Details

SMC2 is a family nurse practitioner in Panama City, FL. SMC2 NPI is 1235859646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 W 6TH ST
PANAMA CITY, FL
ZIP 32401-645
Phone: (508) 527-6489
Fax: (850) 769-6673

The provider's authorized official is Lisa Leanne King .
The authorized official title is Co-owner, Agent and has the following contact phone number (850) 527-6489.

The enumeration date for this NPI number is 8/29/2022 and was last updated on 8/29/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2363LF0000XNurse PractitionerFamilyYes

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: 3/30/2025

NPI Synchronization or Removal

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