CANTONMENT MEDICAL CENTER, LLC (NPI# 1396727277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396727277 |
| Entity Type | Organization |
| Organization Name | CANTONMENT MEDICAL CENTER, LLC |
| Practice Address |
748 N Highway 29 Cantonment FL 32533-9513 |
| Practice Telephone | 8509374004 |
| Practice Fax Number | 8509374006 |
| Mailing Telephone | 8509374004 |
| Mailing Fax Number | 8509374006 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. FADEL SALIB (OWNER) |
| Authorized Official Telephone | 8509374004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME87968 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME70527 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | 44104 | 01 |
| Street Address |
748 N HIGHWAY 29 |
| City | CANTONMENT |
| State | FL |
| Zip Code | 32533-9513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215168992 | Escambia Community Clinics Inc | Clinic/Center | 748 N Highway 29, Cantonment, FL 32533 | 2009-07-29 |
| 1962462671 | Michael D Busby | Physician Assistant | 748 N Highway 29, Cantonment, FL 32533-9513 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778881 | Josie Reynolds | Behavior Technician | 3771 Stefani Road, Cantonment, FL 32533 | 2018-11-08 |
| 1013499441 | Self Haven LLC | Counselor | 1105 Carla Drive, Cantonment, FL 32533 | 2018-09-01 |
| 1104270974 | Tabitha Dugal | Nurse Practitioner | 2360 Us-29, Cantonment, FL 32533 | 2016-04-19 |
| 1912391335 | Gene Raymond Lachney Jr. | Pharmacist | 1550 S Hwy 29, Cantonment, FL 32533 | 2015-03-24 |
| 1902297922 | Sandra Darlene Nelson | Technician | 2524 Sourthern Oak Drive, Cantonment, FL 32533 | 2015-02-12 |
| 1023353695 | Laurelwood Alf | Clinic/Center | 1851 W. Ten Mile Rd, Cantonment, FL 32533 | 2012-12-07 |
| 1235409624 | Ingrid Wilson Huang | Psychologist | 2220 Parker Rd, Cantonment, FL 32533 | 2012-01-03 |
| 1104062850 | Linda Singleton | Adult Companion | 926 Booker St., Cantonment, FL 32533 | 2008-12-31 |
| 1215119193 | Cantonment Family Medicine Pa | Family Medicine | 2400 S. Hwy 29, Cantonment, FL 32533 | 2007-12-03 |
| 1386781342 | Pensacola Primary Care Inc | Family Medicine | 2360 U.S. Highway 29 South, Cantonment, FL 32533 | 2007-01-31 |
| Find all providers in zip 32533 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
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| 1710500111 | Telehealth Physician Services, LLC | Psychiatry & Neurology | 33920 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-2670 | 2020-05-20 |
| 1508488545 | Success Tms North Florida, LLC | Psychiatry & Neurology | 350 Corporate Way Ste 100, Orange Park, FL 32073-2853 | 2020-05-13 |
| 1548882970 | Thrive Recovery Inc | Psychiatry & Neurology | 5210 S University Dr Ste 105, Davie, FL 33328-5315 | 2020-05-07 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1821638909 | Sara Christina Beal | Psychiatry & Neurology | 17945 Hunting Bow Cir Ste 102, Lutz, FL 33558-5376 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | CANTONMENT |
| Zip Code | 32533 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.