Beach Medical Express LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA 9104277 Issued in FL

Legal business name

BEACH MEDICAL EXPRESS LLC

Practice address

108 Cape Cir
Panama City Beach, FL 32413-5206

Phone

(850) 532-3430

NPI assigned

May 24, 2013

Last updated

May 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virginia Pullen, PA-CNPI 1790999423

Title

Owner/Director

Phone

(850) 588-5689

Specialties & licenses 1

Addresses

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.

• Virginia K Pullen, PA-C

  • Medical Physician Assistant
  • Panama City, FL
  • NPI 1790999423
  NPD Authorized official

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1740627165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9952 HUTCHISON BLVD",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32407",
            "telephone_number": "850-588-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CAPE CIR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324135206",
            "telephone_number": "850-532-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH MEDICAL EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "850-588-5689",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA 9104277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beachcomber Retreat, LLC (Bridging the Gap Recovery)
• Beachtown Chiropractic Co., LLC
• Behavioral and Life Connections (B L C)
• Caroleen Nabeel Bejimi
• Amy Leigh Bell, D.C.

• Family Medicine Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.