| Psgfl Mssp, LLC | |
|
3000 Gulf Breeze Pkwy Gulf Breeze FL 32563-5623 | |
| (864) 303-8650 | |
| Not Available |
| Full Name | Psgfl Mssp, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3000 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Authorized Official Name and Position | Christopher R Denapoles, M.D. (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2036674773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psgfl Mssp, LLC 3000 Gulf Breeze Pkwy Gulf Breeze FL 32563-5623 | Psgfl Mssp, LLC 3000 Gulf Breeze Pkwy Gulf Breeze FL 32563-5623 Ph: (864) 303-8650 |
| NPI Number | 1689557936 |
|---|---|
| Provider Enumeration Date | 07/25/2025 |
| Last Update Date | 08/10/2026 |
| Certification Date | 08/10/2026 |
| Medicare PECOS PAC ID | 7214439496 |
|---|---|
| Medicare Enrollment ID | O20250906000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689557936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Narendra K Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740232214 PECOS PAC ID: 4981594454 Enrollment ID: I20040318000149 |
| Provider Name | Joelle Marie Innocent Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205970134 PECOS PAC ID: 9234112798 Enrollment ID: I20040609000032 |
| Provider Name | Christopher J Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407811755 PECOS PAC ID: 1658395769 Enrollment ID: I20060117000237 |
| Provider Name | Elvin C Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902888357 PECOS PAC ID: 2264456003 Enrollment ID: I20060123000284 |
| Provider Name | John M Boden |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417937707 PECOS PAC ID: 0042226912 Enrollment ID: I20060301000699 |
| Provider Name | Andrea J Hackel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750366779 PECOS PAC ID: 8325143217 Enrollment ID: I20070423000054 |
| Provider Name | George Schroeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265530760 PECOS PAC ID: 7315913696 Enrollment ID: I20081118000879 |
| Provider Name | Sandra P Kloman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811181985 PECOS PAC ID: 9234290198 Enrollment ID: I20081210000521 |
| Provider Name | Peter M Manis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164485926 PECOS PAC ID: 7113967076 Enrollment ID: I20090428000433 |
| Provider Name | Roman a Balsys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457558132 PECOS PAC ID: 1355534181 Enrollment ID: I20101025000606 |
| Provider Name | Melisa G Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093073751 PECOS PAC ID: 2466608781 Enrollment ID: I20120801000827 |
| Provider Name | Amy Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750525077 PECOS PAC ID: 9739335654 Enrollment ID: I20120809000045 |
| Provider Name | Christina Miki Araya Osorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710188453 PECOS PAC ID: 0143372144 Enrollment ID: I20120813000093 |
| Provider Name | Sherene Nashara Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295019925 PECOS PAC ID: 5597904136 Enrollment ID: I20130612000087 |
| Provider Name | James T Peoples |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588634760 PECOS PAC ID: 8224098744 Enrollment ID: I20140210000582 |
| Provider Name | Joshua L Latham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326139304 PECOS PAC ID: 5698904464 Enrollment ID: I20140521001500 |
| Provider Name | Tareq M Saghir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326350307 PECOS PAC ID: 3678760832 Enrollment ID: I20141202000528 |
| Provider Name | Taher M Saghir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790930998 PECOS PAC ID: 1951570183 Enrollment ID: I20141218000554 |
| Provider Name | Allison K Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225463649 PECOS PAC ID: 9234440884 Enrollment ID: I20150623001952 |
| Provider Name | Christina Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306222922 PECOS PAC ID: 6901114842 Enrollment ID: I20150926000342 |
| Provider Name | Robert B Duffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720529282 PECOS PAC ID: 4082984463 Enrollment ID: I20170718000348 |
| Provider Name | Katelyn Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104347004 PECOS PAC ID: 2466724711 Enrollment ID: I20170821002799 |
| Provider Name | Christopher R Denapoles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578973715 PECOS PAC ID: 0244596302 Enrollment ID: I20171107001100 |
| Provider Name | Jessica Carden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487138400 PECOS PAC ID: 8921342049 Enrollment ID: I20181130000698 |
| Provider Name | Karlee Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932665890 PECOS PAC ID: 3173863982 Enrollment ID: I20190313003098 |
| Provider Name | Michael Trent Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215383542 PECOS PAC ID: 1355682543 Enrollment ID: I20190417000816 |
| Provider Name | Shannon L Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326504374 PECOS PAC ID: 3072856095 Enrollment ID: I20190515000588 |
| Provider Name | Manuel Salgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114574639 PECOS PAC ID: 2668702267 Enrollment ID: I20190925000201 |
| Provider Name | Molly K Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558910679 PECOS PAC ID: 0345571592 Enrollment ID: I20191018002526 |
| Provider Name | April L Cobreiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619538170 PECOS PAC ID: 1355775479 Enrollment ID: I20191226001361 |
| Provider Name | Sarah M Skechak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688227 PECOS PAC ID: 9335570357 Enrollment ID: I20200507001102 |
| Provider Name | Kristina a Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467079970 PECOS PAC ID: 3476979667 Enrollment ID: I20200819000048 |
| Provider Name | Lalita C Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578173670 PECOS PAC ID: 1759701253 Enrollment ID: I20201022002056 |
| Provider Name | Cary L Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871172221 PECOS PAC ID: 9830507730 Enrollment ID: I20210414000079 |
| Provider Name | Holly J Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588253264 PECOS PAC ID: 7517268196 Enrollment ID: I20210812002755 |
| Provider Name | Elaine Pinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447647862 PECOS PAC ID: 1456661172 Enrollment ID: I20211118001840 |
| Provider Name | Tien My Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538725171 PECOS PAC ID: 5799165163 Enrollment ID: I20220630002807 |
| Provider Name | Alexandria Kellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194461269 PECOS PAC ID: 3870973571 Enrollment ID: I20220711003637 |
| Provider Name | William G Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194453340 PECOS PAC ID: 4385010180 Enrollment ID: I20221019002253 |
| Provider Name | Cassandra D Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235531666 PECOS PAC ID: 6608163498 Enrollment ID: I20221025002401 |
| Provider Name | Katoria L Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306585351 PECOS PAC ID: 0042588832 Enrollment ID: I20230329001675 |
| Provider Name | Monyce L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275015984 PECOS PAC ID: 4284090416 Enrollment ID: I20230515000685 |
| Provider Name | Cassandra Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932804176 PECOS PAC ID: 5496113144 Enrollment ID: I20230628000661 |
| Provider Name | Rachel Bourguignon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851910905 PECOS PAC ID: 7416318761 Enrollment ID: I20230802002551 |
| Provider Name | Rebecca Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427733500 PECOS PAC ID: 1759735467 Enrollment ID: I20230929000465 |
| Provider Name | Amber L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760100903 PECOS PAC ID: 2668828104 Enrollment ID: I20231019002500 |
| Provider Name | Chelsea La Dose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114791407 PECOS PAC ID: 7517301849 Enrollment ID: I20240214004087 |
| Provider Name | Hima Devarapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003487521 PECOS PAC ID: 3173920246 Enrollment ID: I20240730002236 |
| Provider Name | Marcia L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063153880 PECOS PAC ID: 9436682655 Enrollment ID: I20241028000211 |
| Provider Name | Alexis Westmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245058874 PECOS PAC ID: 1557896396 Enrollment ID: I20241203001189 |
| Provider Name | Cody Eversole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902625189 PECOS PAC ID: 5890211767 Enrollment ID: I20250424000980 |
| Provider Name | Jean Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073950002 PECOS PAC ID: 0446228977 Enrollment ID: I20250424002094 |
| Provider Name | Latasha Akpaloo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508667379 PECOS PAC ID: 2668983644 Enrollment ID: I20250617000893 |
| Provider Name | Caroline Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558248120 PECOS PAC ID: 7911403506 Enrollment ID: I20251002001339 |
| Provider Name | Bailey Maree Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265319479 PECOS PAC ID: 3173017373 Enrollment ID: I20251215003891 |
| Provider Name | Stephanie Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467320085 PECOS PAC ID: 2365929262 Enrollment ID: I20260122001678 |
| Provider Name | Kyi Kyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124642715 PECOS PAC ID: 5092243964 Enrollment ID: I20260305003817 |
| Provider Name | Demetria Kanakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720931421 PECOS PAC ID: 3476038357 Enrollment ID: I20260329000134 |
| Provider Name | Randy D Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053265199 PECOS PAC ID: 8921583311 Enrollment ID: I20260402003895 |
| Provider Name | Meshae D Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033076245 PECOS PAC ID: 5294210688 Enrollment ID: I20260402003919 |
| Provider Name | Olesia Maya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265382824 PECOS PAC ID: 5294202164 Enrollment ID: I20260428002689 |
| Provider Name | Rachel L Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346198249 PECOS PAC ID: 3577032622 Enrollment ID: I20260518003258 |
Live Oak Medical Associates, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2896 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-932-2203 Fax: 850-934-0050 |
Hinote Medical, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3188 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-465-2674 Fax: 850-741-9846 |
Gulf Coast Family Medicine PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-437-8625 Fax: 850-916-4715 |
Physician Services Group of Florida, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3000 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-324-9633 Fax: 850-366-1067 |
Goodendos LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561 Phone: 850-733-3636 Fax: 448-444-5678 |
Janice M Hudson MD Family Medicine PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-934-3256 Fax: 850-934-9680 |