Organization
PANHANDLE PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE MARIE RUSSELL APRN (BUSINESS OWNER)
(850) 879-0759
Entity
Organization
Contact information
Practice address
36 OCHLOCKONEE ST, CRAWFORDVILLE, FL 32327-2038
(850) 879-0759
(850) 676-3945
Mailing address
36 OCHLOCKONEE ST, CRAWFORDVILLE, FL 32327-2038
(850) 879-0759
(850) 676-9245
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
04/30/2026
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