Organization Active NPI

Saol MD LLC

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1740744663
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SAOL MD LLC
Practice address
3212 Jenks Ave
Panama City, FL 32405-4224
Phone
(516) 244-1857
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Jean Edson Belcourt
Title
MD
Phone
(516) 244-1857

Specialties & licenses 1

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

Addresses

Primary practice location

3212 Jenks Ave
Panama City, FL 32405-4224

Mailing address

9860 S Thomas Dr Unit 1809
Panama City, FL 32408-1285
Phone (516) 244-1857

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1740744663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9860 S THOMAS DR UNIT 1809",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324081285",
            "telephone_number": "516-244-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054224",
            "telephone_number": "516-244-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAOL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "BELCOURT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "EDSON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-244-1857"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.