Organization Active NPI

Medical Clinic PCB

  • Internal Medicine Physician
  • Panama City Beach, FL
National Provider Identifier
1700180130
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME94438 Issued in FL
Legal business name
MEDICAL CLINIC PCB
Practice address
8317 Front Beach Rd Ste 37B
Panama City Beach, FL 32407-4896
Phone
(850) 249-1002
Fax
(850) 769-2366
NPI assigned
Dec 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Dr. Robert B Sperrazza, M.D.
Title
Doctor/Owner
Phone
(850) 249-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME94438 FL Primary

Addresses

Primary practice location

8317 Front Beach Rd Ste 37B
Panama City Beach, FL 32407-4896

Mailing address

8317 Front Beach Rd Ste 37B
Panama City Beach, FL 32407-4896
Phone (850) 249-1002

National Provider Directory

National Provider Directory

Locations

8317 Front Beach Rd
Ste 37B
Panama City Beach, FL 32407
Phone (352) 504-8546

NPI Registry JSON

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1700180130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 FRONT BEACH RD STE 37B",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074896",
            "telephone_number": "850-249-1002",
            "fax_number": "850-769-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 FRONT BEACH RD STE 37B",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074896",
            "telephone_number": "850-249-1002",
            "fax_number": "850-769-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CLINIC PCB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "SPERRAZZA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "850-249-1002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.