| Panama City Infectious Disease Associates Pa | |
|
2579 Huntcliff Ln Panama City FL 32405-4902 | |
| (850) 763-8596 | |
| (850) 784-6774 |
| Full Name | Panama City Infectious Disease Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2579 Huntcliff Ln, Panama City, Florida |
| Authorized Official Name and Position | William D Bone (CEO/OWNER) |
| Authorized Official Contact | 8507638596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panama City Infectious Disease Associates Pa 2579 Huntcliff Ln Panama City FL 32405-4902 Ph: (850) 763-8596 | Panama City Infectious Disease Associates Pa 2579 Huntcliff Ln Panama City FL 32405-4902 Ph: (850) 763-8596 |
| NPI Number | 1245208735 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 09/08/2010 |
| Medicare PECOS PAC ID | 5597702860 |
|---|---|
| Medicare Enrollment ID | O20050408000743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245208735 | NPI | - | NPPES |
| 94925 | Other | FL | BCBS OF FLORIDA |
| 264643900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | William D Bone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043288285 PECOS PAC ID: 9032156302 Enrollment ID: I20050409000049 |
| Provider Name | David L Beall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225569965 PECOS PAC ID: 2365716677 Enrollment ID: I20170926002459 |
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