# PANHANDLE ORTHOPAEDICS LLC

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

## Provider details

- **NPI number:** 1922589233
- **Authorized official:** MICHAEL DOW GILMORE MD (PRESIDENT)
- **Authorized official phone:** (850) 398-8480

## Contact information

- **Practice address:** 12909 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407-2717
- **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 | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2018
- **Last updated:** 08/24/2018
