PANAMA CITY SPRINGS & RECOVERY CENTER, INC (NPI# 1760981260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760981260 |
| Entity Type | Organization |
| Organization Name | PANAMA CITY SPRINGS & RECOVERY CENTER, INC |
| Other Organization Name | FLORIDA SPRINGS WELLNESS & RECOVERY CENTER |
| Practice Address |
1212 W 19th St Panama City FL 32405-4104 |
| Mailing Address |
3562 Four Oaks Blvd Tallahassee FL 32311-3308 |
| Practice Telephone | 8505676164 |
| Mailing Telephone | 8505676164 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | MR. WARREN PEARSON (CEO) |
| Authorized Official Telephone | 8505676164 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Springs Wellness & Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003393927 | Panama City Springs & Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1212 W 19th St, Panama City, FL 32405-4104 | 2018-07-24 |
| Street Address |
1212 W 19TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003393927 | Panama City Springs & Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1212 W 19th St, Panama City, FL 32405-4104 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091431 | Aloha Detox Center LLC | Psychiatry & Neurology | 4800 Linton Blvd # 6, Delray Beach, FL 33445-6584 | 2020-10-23 |
| 1598315251 | Webmed Network, LLC | Psychiatry & Neurology | 8787 Bryan Dairy Rd Ste 370, Largo, FL 33777-1251 | 2019-09-16 |
| 1699331132 | Hakuna Matata Psychiatry Services Pllc | Psychiatry & Neurology | 13123 E Emerald Coast Pkwy # 193, Inlet Beach, FL 32461-9604 | 2019-05-09 |
| 1629540273 | Aware Recovery Care of Florida LLC | Psychiatry & Neurology | 1625 S Congress Ave Ste 301, Delray Beach, FL 33445-6304 | 2018-12-20 |
| 1962910570 | Palm Beach Neuro and Wellness, LLC | Psychiatry & Neurology | 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 | 2018-01-17 |
| 1770090276 | Allure Wellness Group LLC | Psychiatry & Neurology | 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 | 2018-01-05 |
| 1861902173 | Recreate Life Wellness Group LLC | Psychiatry & Neurology | 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060 | 2017-10-02 |
| 1740718519 | Drs Billing One | Psychiatry & Neurology | 560 Village Blvd Suite 325a, West Palm Beach, FL 33409-7562 | 2017-05-24 |
| 1205389749 | Physicians Recovery Center Inc | Psychiatry & Neurology | 4782 W Commercial Blvd, Tamarac, FL 33319-2878 | 2016-08-02 |
| 1366803322 | Coconut Creek Professional Group LLC | Psychiatry & Neurology | 3880 Coconut Creek Pkwy Ste 303, Coconut Creek, FL 33066-1651 | 2016-03-17 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on PANAMA CITY SPRINGS & RECOVERY CENTER, INC.
| 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.