DR. NIMAE N. AWANTANG


Address: 625 W. Baldwin Rd Ste C., Panama City, FL 32405
Phone: 8507696612

DR. NIMAE N. AWANTANG (NPI# 1124156468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124156468
Entity Type Individual
Full Name DR. NIMAE N. AWANTANG
Other Name DR. NIMAE N. ANGWAFO
Credential M.D.
Practice Address 625 W. Baldwin Rd Ste C.
Panama City
FL 32405
Mailing Address 1702 Ohio Ave
Lynn Haven
FL 32444
Practice Telephone 8507696612
Practice Fax Number 8507693553
Mailing Telephone 8505715844
Mailing Fax Number 8505715845
Enumeration Date 2007-02-28
Last Update Date 2014-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice ME113443 FL Allopathic & Osteopathic Physicians
N 208D00000X General Practice 23996 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 008348000 05

Office Location

Street Address 625 W. BALDWIN RD STE C.
City PANAMA CITY
State FL
Zip Code 32405

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1467921403 Amy Hancock Counselor 1212 W. 19th St., Panama City, FL 32405 2018-11-20
1063991917 Patricia Kagendo Mutunga Day Training, Developmentally Disabled Services 2813 Fairmont Dr, Panama City, FL 32405 2018-08-11
1871087882 Southeastern Dermatology Group Pa Pharmacy 2505 Harrison Ave Ste A, Panama City, FL 32405 2018-06-22
1346733615 Jessica Nicole Graham Nurse Practitioner 2507 Harrison Ave Unit 101, Panama City, FL 32405 2018-06-12
1437658424 Coastal Mobility Transportation, LLC Non-emergency Medical Transport (VAN) 203 Forest Park Circle, Panama City, FL 32405 2018-02-06
1003314915 The Anti-aging Clinic of Northwest Florida Obstetrics & Gynecology 3019 Osprey Cir, Panama City, FL 32405 2018-01-25
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942724950 Fl Medical Group General Practice 1017 Harrison Ave, Panama City, FL 32401-2428 2017-08-01
1346631090 Bruce George Mcdonald General Practice 913 Mckenzie Ave, Panama City, FL 32401-2955 2015-02-16
1295811537 Tim M Smith General Practice 100 Doctors Drive, Panama City, FL 32405 2006-10-30
1659332278 Ayman Taha Aboulela General Practice 109 W 23rd N-5, Panama City, FL 32405 2006-03-31
1912968512 Steven L Mullis General Practice 114 Airport Rd, Panama City, FL 32405-4605 2006-03-31
1578539805 Timothy G Moriarty General Practice 221 E 23rd St, Suite B, Panama City, FL 32405-7612 2006-02-27
1487627782 Maricel Tejeda-oyola General Practice 2309 E 15th St, Panama City, FL 32405-6345 2006-02-08
1154780351 Arman Healthcare, LLC General Practice 201 Forest Park Cir, Panama City, FL 32405-4916 2016-02-16
1184001570 Waterside Medical Services, Inc. General Practice 3210 Highway 77, Panama City, FL 32405-5022 2015-05-05
1295112332 Andrew Syski General Practice 321 Bullfinch Rd, Panama City, FL 32407-7012 2015-04-28
Find all providers in PANAMA CITY

Competitor

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City PANAMA CITY
Zip Code 32405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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