Organization
FLORIDA PANHANDLE PEDIATRIC FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTI A. WELCH R.N.-BSN (PROJECT ADMINISTRATOR)
(850) 872-4840
Entity
Organization
Contact information
Practice address
2814 W 15TH ST, PANAMA CITY, FL 32401-1376
(850) 872-4840
(850) 872-4468
Mailing address
2814 W 15TH ST, PANAMA CITY, FL 32401-1376
(850) 872-4840
(850) 872-4468
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371185400
—
FL
05
—
371185401
—
FL
Enumeration date
02/27/2006
Last updated
03/12/2009
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