FL Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FL MEDICAL GROUP

Practice address

1017 Harrison Ave
Panama City, FL 32401-2428

Phone

(850) 532-1979

NPI assigned

Aug 1, 2017

Last updated

Aug 1, 2017By 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

Wesley Johnson

Title

President

Phone

(850) 532-1979

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1942724950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324020002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012428",
            "telephone_number": "850-532-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-532-1979"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Fisher, RN
• Robin M. Fisher, A.R.N.P
• Cheryl G. Fitzgerald
• Stacy Danae Fitzgerald, LMT
• Kimberly Elaine Fitzpatrick, LMHC
• FL Neuro Pain and Spine Center, .P.a.
• FL Neuro Pain and Spine Center, .P.a.
• FL-I Medical Services LLC
• FL-I Medical Services LLC
• FL-I Medical Services, LLC

• General Practice Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.