Panhandle Family Medicine, LLC

NPI #1306140942 in Bonifay, Florida

Provider Information

NPI Number: 1306140942
Entity Type: Organization
Organization Name: Panhandle Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 22, 2010
Last Updated: Dec 22, 2010

Practice Location

Address: 310 E BYRD AVE
Address 2: SUITE B
City: Bonifay
State: Florida
ZIP Code: 32425-3068
Phone: (850) 547-4555

Authorized Official

Name: MRS. AYSHIA ELLIS HATCHER, MSM
Title: PRACTICE MANAGER
Phone: (850) 638-4555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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