| Livewell Passport Of Florida Llc | |
|
22606 Panama City Beach Pkwy Inlet Beach FL 32413-1150 | |
| (804) 614-8619 | |
| (844) 777-1754 |
| Full Name | Livewell Passport Of Florida Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 22606 Panama City Beach Pkwy, Inlet Beach, Florida |
| Authorized Official Name and Position | George Bruce Sowers (OWNER) |
| Authorized Official Contact | 8046148619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livewell Passport Of Florida Llc 22606 Panama City Beach Pkwy Inlet Beach FL 32413-1150 Ph: (804) 614-8619 | Livewell Passport Of Florida Llc 22606 Panama City Beach Pkwy Inlet Beach FL 32413-1150 Ph: (804) 614-8619 |
| NPI Number | 1922990548 |
|---|---|
| Provider Enumeration Date | 07/17/2025 |
| Last Update Date | 07/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922990548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Sacred Heart Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 N Watersound Pkwy, Inlet Beach, FL 32461 Phone: 850-278-3551 |