Organization
NEUROPATHY RELIEF CENTER OF PANAMA CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MADEWELL (OWNER)
(850) 890-1407
Entity
Organization
Contact information
Practice address
826 HARRISON AVE, SUITE C, PANAMA CITY, FL 32401-2526
(850) 215-2671
(850) 215-2691
Mailing address
826 HARRISON AVE, SUITE C, PANAMA CITY, FL 32401-2526
(850) 215-2671
(850) 215-2691
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HN056A
MEDICARE PTAN (PROVIDER TRANSACTION NUMBER)
FL
Enumeration date
07/12/2013
Last updated
09/30/2013
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