PANHANDLE PRIMARY CARE PLLC NPI 1558186437

NPI Information

  • NPI: 1558186437
  • Provider Name: PANHANDLE PRIMARY CARE PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2317665
  • Address: 92 PIMLICO DR
    CRAWFORDVILLE, FL
    ZIP 32327
  • Phone: (850) 879-0759

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NPI Details

PANHANDLE PRIMARY CARE PLLC is a primary care clinic center in Crawfordville, FL. PANHANDLE PRIMARY CARE PLLC NPI is 1558186437. The provider is registered as an organization entity type.

The provider's business location address is:

92 PIMLICO DR
CRAWFORDVILLE, FL
ZIP 32327-499
Phone: (850) 879-0759

The provider's authorized official is Valerie Marie Russell .
The authorized official title is Business Owner and has the following contact phone number (850) 879-0759.

The CLIA number assigned to this NPI record is 10D2317665 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2024 and was last updated on 11/18/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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