Organization Active NPI

Kolbe Clinic of Florida, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Navarre, FL
National Provider Identifier
1952964132
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2165500Kolbe Clinic of Florida8734 Ortega Park Dr, Navarre, FL 32566Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.