PANAMA CITY PULMONARY LLC


Address: 1005 Mar Walt Drive, Pulmonology Department, Fort Walton Beach, FL 32547-6707
Phone: 8502430118

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 259704700 05

Office Location

Street Address 1005 MAR WALT DRIVE
PULMONOLOGY DEPARTMENT
City FORT WALTON BEACH
State FL
Zip Code 32547-6707

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619507431 Tricounty Physicians, LLC Internal Medicine 1507 Buenos Aires Blvd Ste 102, The Villages, FL 32159-8974 2020-01-21
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
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Competitor

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City FORT WALTON BEACH
Zip Code 32547

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Dataset Information

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.

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