Active NPI
Medical Clinic PCB
- Internal Medicine Physician
- Panama City Beach, FL
National Provider Identifier
1700180130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME94438
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.