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.
Organization
NORTHWEST FLORIDA A S C LP
Active
Organization
NORTHWEST FLORIDA A S C LP
Active
Other names
Northwest Florida Gastroenterology Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE MANNING (ADMINISTRATOR)
(850) 769-7599
Entity
Organization
Contact information
Practice address
204B E 19TH ST, PANAMA CITY, FL 32405-4707
(850) 769-7599
(850) 769-7389
Mailing address
204B E 19TH ST, PANAMA CITY, FL 32405-4707
(850) 769-7599
(850) 215-4381
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079136900
—
FL
01
—
P000962901
RAILROAD MEDICARE
FL
Enumeration date
01/20/2006
Last updated
07/10/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up