Organization Active NPI

Daniel C Daube Jr MD LLC

Doing business as Gulf Coast Facial Plastics & E.N.T. Center

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Panama City, FL
National Provider Identifier
1457384497
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
DANIEL C DAUBE JR MD LLC
Doing business as
Gulf Coast Facial Plastics & E.N.T. Center
Practice address
200 Doctors Dr
Panama City, FL 32405-4559
Phone
(850) 784-7722
Fax
(850) 784-6903
NPI assigned
Jul 9, 2006
Last updated
Aug 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Dr. Daniel Campbell Daube Jr., M.D.NPI 1174571509
Title
Member
Phone
(850) 784-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X FL
Pediatric Otolaryngology Physician 207YP0228X FL
Facial Plastic Surgery Physician 207YS0123X FL
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X FL Primary
Otolaryngic Allergy Physician 207YX0602X FL

Addresses

Primary practice location

200 Doctors Dr
Panama City, FL 32405-4559

Mailing address

200 Doctors Dr
Panama City, FL 32405-4559
Phone (850) 784-7722

Other identifiers 1

IdentifierTypeStateIssuer
ME0068517OtherFLFLORIDA MEDICAL LICENSE

Other names 1

  • Gulf Coast Facial Plastics & E.N.T. Center Doing business as

National Provider Directory

National Provider Directory

Locations

1303 Mosley Dr
Lynn Haven, FL 32444
Phone (850) 271-5996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1457384497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054559",
            "telephone_number": "850-784-7722",
            "fax_number": "850-784-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054559",
            "telephone_number": "850-784-7722",
            "fax_number": "850-784-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL C DAUBE JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "DAUBE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "850-784-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME0068517",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Facial Plastics & E.N.T. Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.