# EVEREST MEDICAL CARE P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033174594
- **Authorized official:** MS. MARGARET M CARTER (OFFICE MANAGER)
- **Authorized official phone:** (850) 482-2061

## Contact information

- **Practice address:** 4296 5TH AVE, MARIANNA, FL 32446-2173
- **Practice address phone:** (850) 482-2061
- **Practice address fax:** (850) 482-6617
- **Mailing address:** 4296 5TH AVE, MARIANNA, FL 32446-2173
- **Mailing address phone:** (850) 482-2061
- **Mailing address fax:** (850) 482-6617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME77246 | FL | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | ME77246 | FL | — |
| 207RP1001X | Pulmonary Disease Physician | ME77246 | FL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | ME77246 | FL | — |
| 208D00000X | General Practice Physician | ME27861 | FL | — |
| 363AM0700X | Medical Physician Assistant | PA9101074 | FL | — |
| 363LG0600X | Gerontology Nurse Practitioner | ARNP3033052 | FL | — |
| 363LP2300X | Primary Care Nurse Practitioner | ARNP1903302 | FL | — |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 12/12/2013
