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PANAMA CITY PULMONARY LLC NPI 1689998940


NPI Information

NPI: 1689998940
Provider Name: PANAMA CITY PULMONARY LLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1005 MAR WALT DRIVE
PULMONOLOGY DEPARTMENT
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 243-0118
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PANAMA CITY PULMONARY LLC is a pulmonary disease internal medicine in Fort Walton Beach, FL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PANAMA CITY PULMONARY LLC NPI is 1689998940. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1005 MAR WALT DRIVE
PULMONOLOGY DEPARTMENT
FORT WALTON BEACH, FL
ZIP 32547-707
Phone: (850) 243-0118
Fax: (850) 243-0594

The provider's authorized official is Angel Arturo Nunez .
The authorized official title is Physician and has the following contact phone number (850) 243-0118.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 11/5/2018.


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
1207RC0200XInternal MedicineCritical Care MedicineNo
2207RS0012XInternal MedicineSleep MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseYes

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
1259704700MEDICAIDFLORIDA

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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