Organization
COMPASS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M. COOK (OFFICE MANAGER)
(850) 763-0505
Entity
Organization
Contact information
Practice address
22623 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-5127
(850) 230-3385
(850) 230-3383
Mailing address
22623 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-5127
(850) 230-3385
(850) 230-3383
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
HCC6299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y909Y
BCBS OF FLORIDA
FL
Enumeration date
03/23/2007
Last updated
08/22/2020
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