Individual provider Active NPI

Arian Alejandro Suarez Valderas

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1881567642
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11042545 Issued in FL
Practice address
2110 W 23Rd St Ste a
Panama City, FL 32405-2370
Phone
(850) 226-6801
NPI assigned
Sep 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11042545 FL Primary

Addresses

Primary practice location

2110 W 23Rd St Ste a
Panama City, FL 32405-2370

Mailing address

1236 SW 104TH CT
Miami, FL 33174-2609
Phone (786) 261-9289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251120000089 FL Practitioner - Nurse Practitioner 2567954324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Pain and Wellness LLCGroup PAC ID 8527364058, 29 clinicians

Practice addresses (Care Compare)

2110 W 23Rd St
Dynamic Pain and Wellness
Panama City, FL 32405-2369
Phone (850) 226-6801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11042545FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Pain & Wellness LLC CurrentSince Nov 10, 2025 Accepting new patients
Dynamic Pain & Wellness LLC CurrentSince Nov 10, 2025 Accepting new patients

Locations

930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183

930 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 331-2930

2110 W 23rd St
Ste A
Panama City, FL 32405

2110 W 23rd St
Panama City, FL 32405
Phone (850) 769-3398

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1881567642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 SW 104TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742609",
            "telephone_number": "786-261-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 W 23RD ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052370",
            "telephone_number": "850-226-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ VALDERAS",
        "first_name": "ARIAN",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.