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Organization

PANHANDLE ORTHOPAEDICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL D GILMORE MD (PRESIDENT/OWNER)
(850) 407-7840
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FL
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

Other identifiers
Code
Description
Identifier
Issuer
State
01
004K2
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
05/20/2006
Last updated
09/03/2024
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