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DREAM MEDICAL LLC NPI 1518246560


NPI Information

NPI: 1518246560
Provider Name: DREAM MEDICAL, LLC

Doing Business As: SPINE & NEURO PAIN SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2103 JENKS AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 763-8000
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DREAM MEDICAL, LLC is a specialist in Panama City, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DREAM MEDICAL, LLC NPI is 1518246560. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spine & Neuro Pain Specialists.

The provider's business location address is:

2103 JENKS AVE
PANAMA CITY, FL
ZIP 32405-511
Phone: (850) 763-8000
Fax: (850) 785-1122

The provider's authorized official is Aaron J Shores .
The authorized official title is President and has the following contact phone number (850) 763-8000.

The enumeration date for this NPI number is 8/9/2011 and was last updated on 8/28/2012.


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
1174400000XSpecialistME89523FLORIDAYes

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
1FG969AMEDICARE PINFLORIDA
26598520002MEDICARE NSCFLORIDA
3269676200MEDICAIDFLORIDA

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

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