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Organization
PANHANDLE FAMILY CARE ASSOCIATES INC
Active
Organization
PANHANDLE FAMILY CARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A SPENCE (MD)
(850) 482-2910
Entity
Organization
Contact information
Practice address
4284 KELSON AVE, MARIANNA, FL 32446-2948
(850) 482-2910
(850) 482-2836
Mailing address
4284 KELSON AVE, MARIANNA, FL 32446-2948
(850) 482-2910
(850) 482-2836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276272200
—
FL
01
—
34321
BLUECROSS BLUESHIELD FLORIDA
FL
01
—
AT785
MEDICARE PTAN
FL
01
—
DA3069
MEDICARE RAILROAD
—
Enumeration date
04/29/2008
Last updated
08/20/2015
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