# PANHANDLE ORTHOPAEDICS LLC

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

## Provider details

- **NPI number:** 1952644221
- **Authorized official:** MICHAEL D GILMORE MD (PRESIDENT/OWNER)
- **Authorized official phone:** (850) 398-8480

## Contact information

- **Practice address:** 2401 LANGLEY AVE UNIT B, PENSACOLA, FL 32504-8922
- **Practice address phone:** (850) 407-7840
- **Practice address fax:** (850) 407-7839
- **Mailing address:** 2401 LANGLEY AVE UNIT B, PENSACOLA, FL 32504-8922
- **Mailing address phone:** (850) 407-7840
- **Mailing address fax:** (850) 407-7839

## 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:** 04/04/2013
- **Last updated:** 05/14/2025
