NPIMap

Organization Active NPI

Cammack Clinic PA

  • Internal Medicine Physician
  • Navarre, FL
National Provider Identifier
1275858870
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0069924 Issued in FL
Legal business name
CAMMACK CLINIC PA
Practice address
7552 Navarre Pkwy Unit 45
Navarre, FL 32566-7309
Phone
(850) 936-9665
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Anthony Jerome Cammack, M.D.
Title
Owner
Phone
(850) 936-9665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0069924 FL Primary

Addresses

Primary practice location

7552 Navarre Pkwy Unit 45
Navarre, FL 32566-7309

Mailing address

7552 Navarre Pkwy Unit 45
Navarre, FL 32566-7309
Phone (850) 936-9665

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1275858870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 45",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667309",
            "telephone_number": "850-936-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 45",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667309",
            "telephone_number": "850-936-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMMACK CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "CAMMACK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-936-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0069924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.