Unknown Individual – Physician Assistant, NPI 1487699963
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2202 State Ave
Suite 300
Panama City, FL 324057601
Phone: (850) 769-2417
Fax: (850) 784-1144
Type: Location
Capital Medical Boulevard, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323084470
Phone: (850) 877-8174
Fax: (844) 261-6839
Type: Mailing
3051, 6th Street, Marianna, Jackson County, Florida, 32446, United States
MARIANNA, FL 32446
Phone: (850) 526-3236
Fax: (844) 261-6844
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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