FSL-Panama City, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1366095 Issued in FL

Legal business name

FSL-PANAMA CITY, LLC

Doing business as

St. Andrew Health and Rehabilitaion Center

Practice address

2100 Jenks Ave
Panama City, FL 32405-4530

Phone

(850) 763-0446

Fax

(850) 763-7787

NPI assigned

Feb 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Doreen Martin

Title

VP of Ar

Phone

(727) 820-8409

Specialties & licenses 1

Addresses

Other names 1

• St. Andrew Health and Rehabilitaion Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063485118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 2ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014360",
            "telephone_number": "727-820-8409",
            "fax_number": "727-822-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054530",
            "telephone_number": "850-763-0446",
            "fax_number": "850-763-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL-PANAMA CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "VP OF AR",
        "authorized_official_telephone_number": "727-820-8409"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1366095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Andrew Health and Rehabilitaion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fridley Roemer HCS, Inc.
• Claude Randall Fridley
• Christine A Frohlich, CRNA
• Stephanie Rae Frost
• Justin Frye
• Douglas Fujawa, DDS, MS
• Paula Conette Fulford, ARNP
• Michael Paul Fulghum, RPH
• Stacia Fulmer-Britt, MSCP
• Jessica Katherine Fuqua, PA-C

• Skilled Nursing Facility in Panama City, FL
• Providers in Panama City, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.