Pancare of Florida, Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Port St Joe, FL
NPI 1609689504 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1609689504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- PANCARE OF FLORIDA, INC
- Practice address
- 401 Cecil G Costin Sr Blvd
Port St Joe, FL 32456-1928 - Phone
- (850) 229-1043
- Fax
- (850) 229-1104
- NPI assigned
- Jan 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Laura Riley
- Title
- Billing Manager
- Phone
- (850) 215-3578
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Pancare of Florida Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
401 Cecil G Costin Sr Blvd
Port St Joe, FL 32456-1928
Mailing address
403 E 11TH St
Panama City, FL 32401-3409
Phone (850) 747-5599
Other names
- PANCARE DENTAL PSJ
Other providers in Port St Joe, FL
- David Joseph Newton
- North Florida Surgeons, PA
- Our Home at Beacon Hill BSLC LLC
- Pancare of Florida, Inc
- Pancare of Florida, Inc
- Richard Petch
- Pharmacy Investment Coordinators Inc
- Pharmacy Investment Coordinators Inc
- Pharmacy Investment Coordinators, Inc
- Monica Pineda
All providers in Port St Joe, FL · Federally Qualified Health Center (FQHC) in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.