James Benjamin Renfroe (NPI# 1780686717, PAC ID# 4880683960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1780686717 |
| PAC ID by PECOS | 4880683960 |
| Professional Enrollment ID | I20040628000169 |
| Full Name | James Benjamin Renfroe |
| Organization Legal Name | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| Address |
23 Mack Bayou Loop Suite 100 Santa Rosa Beach FL 32459-2606 |
| Phone Number | 8509325055 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 3870584345 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4458 | 8509325055 | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| 23 Mack Bayou Loop, Suite 100, Santa Rosa Beach, FL 32459-2606 | 8509325055 | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| Organization Legal Name | CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mailande P Dedeaux | Physician Assistant | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Theresa M Keohane | Nurse Practitioner | Child Neurology Center of Northwest Florida Pa | 400 Gulf Breeze Pkwy, Suite 300, Gulf Breeze, FL 32561-4458 |
| Weldon Mauney Iii | Neurology | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Quynh Nguyen | Physician Assistant | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Sara M Winchester | Neurology | Child Neurology Center of Northwest Florida Pa | 10123 Us Hwy 98 W, Destin, FL 32550-5000 |
| Street Address |
23 MACK BAYOU LOOP SUITE 100 |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip | 32459-2606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee R Mccormack | Nurse Practitioner | 201 N Blue Heron Dr, Santa Rosa Beach, FL 32459-0201 | |
| Christine Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| Justin T Smiley | Family Medicine | Doc Smiley's Urgent Care LLC | 43 Cassine Way, Suite 102, Santa Rosa Beach, FL 32459-0456 |
| Erin D Fowler | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Rebecca G Block | Nurse Practitioner | Sacred Heart Hospital of Pensacola | 27 Mack Bayou Loop, Suite 1000, Santa Rosa Beach, FL 32459-2613 |
| Emilia M Banse | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Wendy M Depury | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Farid Chekaoui | Psychiatry | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Carmen Y Brezna | Clinical Social Worker | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Sara A Lepisto | Nurse Practitioner | Emerald Coast Memory Clinic LLC | 225 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3063 |
| Find all physicians in zip 32459 | |||
| City | SANTA ROSA BEACH |
| Zip Code | 32459 |
| Specialty | NEUROLOGY |
| City + Specialty | SANTA ROSA BEACH + NEUROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.