Unknown Individual – Psychiatry Physician, NPI 1245236090
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
525, East 15th Street, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 324055412
Phone: (850) 522-4485
Fax: (850) 914-6281
Type: Mailing
310, East Byrd Avenue, Bonifay, Holmes County, Florida, 32425, United States
BONIFAY, FL 324253006
Phone: (850) 522-4485
Fax: (850) 914-6281
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32405)
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