Organization Active NPI

First Class MD, PA

  • Primary Care Clinic/Center
  • Navarre, FL
National Provider Identifier
1568603702
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FIRST CLASS MD, PA
Practice address
7552 Navarre Parkway
Suite 5
Navarre, FL 32566
Phone
(850) 939-4150
Fax
(850) 936-5277
NPI assigned
Mar 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Wayne S. Burnett, MD
Title
President
Phone
(850) 939-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7552 Navarre Parkway
Suite 5
Navarre, FL 32566

Mailing address

7552 Navarre Parkway
Suite 5
Navarre, FL 32566
Phone (850) 939-4150

National Provider Directory

National Provider Directory

Locations

2053 Fountain Professional Ct
Ste B
Navarre, FL 32566
Phone (850) 515-1174

7552 Navarre Pkwy
Unit 9
Navarre, FL 32566
Phone (850) 860-4050

7552 Navarre Pkwy
Unit 5
Navarre, FL 32566
Phone (850) 474-8387

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1568603702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PARKWAY",
            "address_2": "SUITE 5",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-939-4150",
            "fax_number": "850-936-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PARKWAY",
            "address_2": "SUITE 5",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "32566",
            "telephone_number": "850-939-4150",
            "fax_number": "850-936-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-939-4150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Jun 12, 2014; 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.