GIBBENS FAMILY MEDICAL LLC NPI 1780160119

NPI Information

  • NPI: 1780160119
  • Provider Name: GIBBENS FAMILY MEDICAL LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 10D2173212
  • Address: 2338 STATE AVE
    PANAMA CITY, FL
    ZIP 32405
  • Phone: (850) 640-0663

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NPI Details

GIBBENS FAMILY MEDICAL LLC is a family nurse practitioner in Panama City, FL. GIBBENS FAMILY MEDICAL LLC NPI is 1780160119. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2338 STATE AVE
PANAMA CITY, FL
ZIP 32405-361
Phone: (850) 640-0663
Fax: (850) 889-1510

The provider's authorized official is Brittany Gibbens .
The authorized official title is Manager and has the following contact phone number (850) 640-0663.

The CLIA number assigned to this NPI record is 10D2173212 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2018 and was last updated on 1/28/2022.

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
1363LF0000XNurse 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: 11/21/2025

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