J Grant Shuflitowski MD PA Gulf View Family Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

J GRANT SHUFLITOWSKI MD PA GULF VIEW FAMILY MEDICAL CENTER

Practice address

16900 Front Beach Rd
Panama City Beach, FL 32413-2345

Phone

(850) 234-1898

Fax

(850) 234-7670

NPI assigned

Apr 3, 2007

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grant Shuflitowski, MD

Title

Owner

Phone

(850) 234-1898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1245351329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16900 FRONT BEACH RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132345",
            "telephone_number": "850-234-1898",
            "fax_number": "850-234-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16900 FRONT BEACH RD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324132345",
            "telephone_number": "850-234-1898",
            "fax_number": "850-234-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GRANT SHUFLITOWSKI MD PA GULF VIEW FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "SHUFLITOWSKI",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-234-1898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375337900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sheyda Isazadeh-Khaylani, DC
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• Deaundra Brisha Jackson, M.A
• Heather Jackson, LMHC
• Renese Jackson, PHARMD
• Thomas Albert Jacobson, M.D.

• Family Medicine Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.