| North Florida Medical Centers Inc | |
|
1328 Coastal Hwy Panacea FL 32346-2151 | |
| (850) 984-4735 | |
| (850) 984-4742 |
| Full Name | North Florida Medical Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1328 Coastal Hwy, Panacea, Florida |
| Authorized Official Name and Position | Lane Miller Lunn (PRESIDENT/CEO) |
| Authorized Official Contact | 8503854494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Medical Centers Inc 2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 Ph: (850) 385-4494 | North Florida Medical Centers Inc 1328 Coastal Hwy Panacea FL 32346-2151 Ph: (850) 984-4735 |
| NPI Number | 1447254958 |
|---|---|
| Provider Enumeration Date | 06/13/2005 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 6103737697 |
|---|---|
| Medicare Enrollment ID | O20100827000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447254958 | NPI | - | NPPES |
| 029568001 | Medicaid | FL | |
| 029568021 | Medicaid | FL | |
| 99388 | Other | FL | MEDICARE PART B, GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 00000 (Florida) | Primary |