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Organization
PANHANDLE ORTHOPAEDICS LLC
Active
Organization
PANHANDLE ORTHOPAEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D GILMORE MD (PRESIDENT/OWNER)
(850) 407-7840
Entity
Organization
Contact information
Practice address
2401 LANGLEY AVE UNIT B, PENSACOLA, FL 32504-8922
(850) 407-7840
(850) 407-7839
Mailing address
2401 LANGLEY AVE UNIT B, PENSACOLA, FL 32504-8922
(850) 407-7840
(850) 407-7839
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
FL
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
05/20/2006
Last updated
09/03/2024
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