Panama City Spine LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

OS12168 Issued in FL

Legal business name

PANAMA CITY SPINE LLC

Practice address

2636 Jenks Ave
Panama City, FL 32405-4387

Phone

(850) 481-8752

Fax

(850) 481-8758

NPI assigned

Jul 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael Xavier Rohan Jr., D.O.

Title

President

Phone

(850) 481-8752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1427490663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054387",
            "telephone_number": "850-481-8752",
            "fax_number": "850-481-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054387",
            "telephone_number": "850-481-8752",
            "fax_number": "850-481-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA CITY SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "ROHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-481-8752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "OS12168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Panama City Ppec, LLC
• Panama City Ppec, LLC
• Panama City Primary Care
• Panama City Psychiatric Care
• Panama City Smiles PA
• Panama City Springs & Recovery Center, Inc
• Panama City Surgery Center,LLC
• Panama Drugs Inc
• Pancare of Florida, Inc
• Pancare of Florida, Inc

• Orthopaedic Surgery of the Spine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.