# PANHANDLE ORTHOPAEDICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1134463482
- **Authorized official:** MICHAEL D GILMORE MD (PRESIDENT/OWNER)
- **Authorized official phone:** (850) 398-8480

## Contact information

- **Practice address:** 12909 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407
- **Practice address phone:** (850) 784-7724
- **Practice address fax:** (850) 784-4711
- **Mailing address:** 710 HOSPITAL DR, CRESTVIEW, FL 32539-7380
- **Mailing address phone:** (850) 398-8480
- **Mailing address fax:** (850) 398-8482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | FL | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | FL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | — | FL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | FL | — |
| 225100000X | Physical Therapist | — | FL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | FL | — |
| 225200000X | Physical Therapy Assistant | — | FL | — |
| 363A00000X | Physician Assistant | — | FL | — |
| 363AS0400X | Surgical Physician Assistant | — | FL | — |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 08/23/2018