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Pancare of Florida, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Freeport, FL

NPI 1750194692 · NPPES record last updated Jan 27, 2025

Key facts

NPI
1750194692
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
PANCARE OF FLORIDA, INC
Practice address
479 State Highway 20 E
Freeport, FL 32439-3931
Phone
(850) 880-6568
Fax
(850) 880-6583
NPI assigned
Jan 27, 2025
Organization subpart
No

Authorized official

Name
Laura Riley
Title
Billing Manager
Phone
(850) 215-3578

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Pancare of Florida Inc (25 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

479 State Highway 20 E
Freeport, FL 32439-3931

Mailing address

403 E 11TH St
Panama City, FL 32401-3409
Phone (850) 747-5599

Other names

  • PANCARE HEALTH FREEPORT Other name

Other providers in Freeport, FL

All providers in Freeport, FL · Federally Qualified Health Center (FQHC) in Florida

Sources for this page

Verify at the official NPI Registry.