PANAMA CITY PULMONARY LLC (NPI# 1689998940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689998940 |
Entity Type | Organization |
Organization Name | PANAMA CITY PULMONARY LLC |
Practice Address |
1005 Mar Walt Drive Pulmonology Department Fort Walton Beach FL 32547-6707 |
Mailing Address |
1005 Mar Walt Dr Fort Walton Beach FL 32547-6707 |
Practice Telephone | 8502430118 |
Practice Fax Number | 8502430594 |
Mailing Telephone | 8502430118 |
Mailing Fax Number | 8502430594 |
Enumeration Date | 2010-03-16 |
Last Update Date | 2018-11-05 |
Authorized Official Name | DR. ANGEL ARTURO NUNEZ (PHYSICIAN) |
Authorized Official Telephone | 8502430118 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 259704700 | 05 |
Street Address |
1005 MAR WALT DRIVE PULMONOLOGY DEPARTMENT |
City | FORT WALTON BEACH |
State | FL |
Zip Code | 32547-6707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285628743 | Vincent Thomas Jones | Radiology | 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547-6796 | 2005-09-09 |
1841765351 | Mallory Hope Maddox | Physician Assistant | 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 | 2018-10-11 |
1598299141 | Gary James Tackling | Internal Medicine | 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | 2017-04-19 |
1083162457 | Heather Lutz Shelton | Nurse Practitioner | 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547-6796 | 2016-09-14 |
1508313180 | Stacey Lynn Paradise | Nurse Practitioner | 1005 Mar Walt Drive, Care Coordination Department, Fort Walton Beach, FL 32547-6796 | 2016-09-01 |
1497105118 | Alison Harpring Colonna | Pediatrics | 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547-6707 | 2016-06-14 |
1871964502 | Dixie Lee Allen | Nurse Practitioner | 1005 Mar Walt Drive, Immediate Care Department, Fort Walton Beach, FL 32547-6707 | 2015-10-07 |
1871977173 | Philip Frank Alain Jessen | Nurse Practitioner | 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | 2015-07-16 |
1922494657 | Christian Constance Blackwell | Nurse Practitioner | 1005 Mar Walt Drive, Internal Medicine Department, Fort Walton Beach, FL 32547-6707 | 2015-04-09 |
1184026254 | Elizabeth Gayle Anderson | Nurse Practitioner | 1005 Mar Walt Drive, Care Coordination Department, Fort Walton Beach, FL 32547-6796 | 2014-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
Find all providers in zip 32547 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356482103 | Lee D. Ettinger, M.d., P.a. | Internal Medicine | 914 Mar Walt Dr # C, Fort Walton Beach, FL 32547 | 2007-02-12 |
1154437580 | William E Haik | Internal Medicine | 928 Mar Walt Dr # A, Fort Walton Beach, FL 32547-6706 | 2006-08-21 |
1346270592 | John Christopher Chaney | Internal Medicine | 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6707 | 2006-07-04 |
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1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
1245892611 | Blueapplecare, LLC. | Internal Medicine | 2625 Executive Park Dr Ste 101, Weston, FL 33331-3634 | 2019-07-05 |
1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
1255800629 | Shiffa Medical Solutions LLC | Internal Medicine | 12144 Montalcino Circle, Windermere, FL 34780 | 2018-11-15 |
1538638853 | Arif Shakoor II LLC | Internal Medicine | 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 | 2018-11-15 |
1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
1366929465 | Ernesto E. Fonts, M.d, P.a. | Internal Medicine | 777 E 25th St Ste 512, Hialeah, FL 33013-3834 | 2018-07-23 |
1528552494 | Joseph C Daley IIi Md Fccp LLC | Internal Medicine | 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 | 2018-06-14 |
1992200158 | James Lucio Md, Pa | Internal Medicine | 12627 Butler Bay Ct, Windermere, FL 34786-6102 | 2018-03-28 |
Find all providers with the same taxonomy |
City | FORT WALTON BEACH |
Zip Code | 32547 |
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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.