| Journeypure Panhandle Medical Group Llc | |
|
22219 Panama City Beach Pkwy Panama City FL 32413-3227 | |
| (850) 249-4300 | |
| Not Available |
| Full Name | Journeypure Panhandle Medical Group Llc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 22219 Panama City Beach Pkwy, Panama City, Florida |
| Authorized Official Name and Position | Kayla Deckert (DIRECTOR OF CONTRACTING) |
| Authorized Official Contact | 6155194156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeypure Panhandle Medical Group Llc 22219 Panama City Beach Pkwy Panama City FL 32413-3227 Ph: () - | Journeypure Panhandle Medical Group Llc 22219 Panama City Beach Pkwy Panama City FL 32413-3227 Ph: (850) 249-4300 |
| NPI Number | 1033567268 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 01/12/2021 |
| Certification Date | 01/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033567268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 59359 (Florida) | Primary |
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