Organization
NORTHWEST FLORIDA A S C LP
Active
Other names
Northwest Florida Gastroenterology Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
204B E 19TH ST, PANAMA CITY, FL 32405-4707
(850) 769-7599
(850) 769-7389
Mailing address
1A BURTON HILLS BLVD STE 300, NASHVILLE, TN 37215-6153
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079136900
—
FL
01
—
P000962901
RAILROAD MEDICARE
FL
Enumeration date
01/20/2006
Last updated
09/24/2025
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