Panama City Pulmonary LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PANAMA CITY PULMONARY LLC

Practice address

1005 Mar Walt Drive
Pulmonology Department
Fort Walton Beach, FL 32547-6707

Phone

(850) 243-0118

Fax

(850) 243-0594

NPI assigned

Mar 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Angel Arturo Nunez, M.D.NPI 1366543456

Title

Physician

Phone

(850) 243-0118

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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.

• Angel A Nunez, MD

  • Pulmonary Disease Physician
  • Crestview, FL
  • NPI 1366543456
  Authorized official Same address or phone

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1689998940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-243-0118",
            "fax_number": "850-243-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DRIVE",
            "address_2": "PULMONOLOGY DEPARTMENT",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707",
            "telephone_number": "850-243-0118",
            "fax_number": "850-243-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA CITY PULMONARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-243-0118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259704700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vamsi Krishna Pachchipulusu, M.D
• Pacifica Walton Beach LLC (Meridian At Westwood)
• Susan Page
• Meire Claudia Palmer
• Precious Palmer
• Jasmine Pang
• Destinee Panti, RBT
• Jeffrey Glen Pardonner, LMFT
• Ashley Sue Parker, COTA
• Kimberly D Parks, CNM

• Pulmonary Disease Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.