Active NPI
Kolbe Clinic of Florida, LLC
- Addiction Medicine (Family Medicine) Physician
- Navarre, FL
National Provider Identifier
1952964132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- KOLBE CLINIC OF FLORIDA, LLC
- Practice address
- 8734 Ortega Park Dr
Navarre, FL 32566-4139 - Phone
- (850) 904-2277
- Fax
- (205) 618-9706
- NPI assigned
- Apr 15, 2019
- Last updated
- Apr 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Carl Wainscott II
- Title
- Ceo
- Phone
- (850) 904-2277
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | NU | Primary | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
8734 Ortega Park Dr
Navarre, FL 32566-4139
Mailing address
8734 Ortega Park Dr
Navarre, FL 32566-4139
Phone (850) 904-2277
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2165500 | Kolbe Clinic of Florida | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
8734 Ortega Park Dr
Navarre, FL 32566
Phone (850) 904-2277
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Walton Beach, FL
- NPI 1659962363
-
- Clinical Social Worker
- Gulf Breeze, FL
- NPI 1770898033
-
- Clinical Social Worker
- Pensacola, FL
- NPI 1477848026
-
- Nurse Practitioner
- Rome, GA
- NPI 1962440461
-
- Family Nurse Practitioner
- Muncie, IN
- NPI 1932413994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1952964132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8734 ORTEGA PARK DR",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325664139",
"telephone_number": "850-904-2277",
"fax_number": "205-618-9706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8734 ORTEGA PARK DR",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325664139",
"telephone_number": "850-904-2277",
"fax_number": "205-618-9706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOLBE CLINIC OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-15",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "WAINSCOTT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "850-904-2277",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.