CHRISTOPHER NEIL SHORES


Address: 615 N Bonita Ave, Panama City, FL 32401
Phone: 8507691511

CHRISTOPHER NEIL SHORES (NPI# 1760988307) 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) 1760988307
Entity Type Individual
Full Name CHRISTOPHER NEIL SHORES
Practice Address 615 N Bonita Ave
Panama City
FL 32401
Mailing Address 2618 Choctaw Trl
Marianna
FL 32446-7812
Practice Telephone 8507691511
Mailing Telephone 8503947582
Mailing Fax Number 8503724616
Enumeration Date 2018-04-03
Last Update Date 2020-01-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 146L00000X Emergency Medical Technician, Paramedic Emergency Medical Service Providers
N 163WE0003X Registered Nurse
Specialization: Emergency
RN9223586 FL Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9223586 FL Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4896a Highway 90, Marianna, FL 324467840 8505266700

Office Location

Street Address 615 N BONITA AVE
City PANAMA CITY
State FL
Zip Code 32401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245235027 George T Edwards Surgery 615 N Bonita Ave, Panama City, FL 32401-3623 2005-06-17
1144851411 Hni Hospital Services of Florida, LLC Family Medicine 615 N Bonita Ave, Panama City, FL 32401-3623 2020-01-27
1205477601 Whitney Hudson Ochanda Nurse Anesthetist, Certified Registered 615 N Bonita Ave, Panama City, FL 32401-3623 2019-10-07
1053894170 Thomasina Waldera Registered Nurse 615 N Bonita Ave, Panama City, FL 32401-3623 2018-09-13
1679073431 Audrey Ann Farr Nurse Practitioner 615 N Bonita Ave, Panama City, FL 32401-3623 2018-02-19
1255839098 Aurelia Elise Stone Nurse Practitioner 615 N Bonita Ave, Panama City, FL 32401-3623 2018-01-26
1912429457 Rachael C Rogers Nurse Anesthetist, Certified Registered 615 N Bonita Ave, Panama City, FL 32401-3623 2017-07-15
1346779394 Madison Avery Webb Physician Assistant 615 N Bonita Ave, Panama City, FL 32401-3623 2017-06-05
1710414966 Debroh Lynn Bailey Registered Nurse 615 N Bonita Ave, Panama City, FL 32401-3623 2017-05-18
1871039628 Rebecca Winge Nurse Anesthetist, Certified Registered 615 N Bonita Ave, Panama City, FL 32401-3623 2017-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760946727 Panama City Drugs Pharmacy 3127 East Bus 98, Panama City, FL 32401 2019-01-24
1154813418 Karl Roger Metzger Pharmacist 306 S Macarthur Ave, Panama City, FL 32401 2018-06-03
1942703905 Muhammad Eckhaus Acupuncturist 2401 West 15th Street, Panama City, FL 32401 2018-03-15
1922534171 Wolford Family Practice Inc Nurse Practitioner 1027 E Business Hwy 98, Panama City, FL 32401 2017-05-10
1508397381 Shoreline Medical Solutions & Dme, LLC Durable Medical Equipment & Medical Supplies 405 W Oak Ave Ste B, Panama City, FL 32401 2017-03-23
1679027189 David Lawrence Angier Behavioral Analyst 904 Flower Ave, Panama City, FL 32401 2016-08-12
1427422369 Kathy Purdessy Nurse Practitioner 801 E 6th St Ste 604, Panama City, FL 32401 2015-11-16
1881015154 Anesthesia Unlimited Inc Nurse Anesthetist, Certified Registered 801 E 6th Stret, Ste 205, Panama City, FL 32401 2014-01-03
1598193765 Lashunda Sherese Thomas Social Worker 2711 W. 15th St., Panama City, FL 32401 2013-10-24
1144654153 Raymond Dretti Pacheco Licensed Practical Nurse 509 N Center Ave, Panama City, FL 32401 2013-08-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932727666 Daniel Totter Nurse Practitioner 4008 Brently Cir, Panama City, FL 32405-4844 2020-07-09
1962023580 Valorey Jenkins Nurse Practitioner 5400 Bayline Dr, Panama City, FL 32404-5492 2020-05-05
1932752276 Bruce Franklin Ferris Jr. Nurse Practitioner 237 E Baldwin Rd Ste 101, Panama City, FL 32405-4463 2019-07-16
1346733615 Jessica Nicole Graham Nurse Practitioner 2507 Harrison Ave Unit 101, Panama City, FL 32405 2018-06-12
1710489182 Amanda Danielle Mcquagge Nurse Practitioner 237 E Baldwin Rd Ste 103, Panama City, FL 32405-4205 2018-03-01
1306347505 Delinda Bane Melvin Nurse Practitioner 7834 Olde Mill Rd, Panama City, FL 32409-4824 2018-02-22
1710492392 Shiloh Leanne Simmons Nurse Practitioner 5668 Joseph Rd, Panama City, FL 32404-5026 2017-12-05
1235537044 Vanquiece Lashunn Lindsey Nurse Practitioner 2910 Cedars Xing, Panama City, FL 32405-6388 2014-12-10
1386916500 Rachel Denise Spikes Nurse Practitioner 2633 Highway 77 Ste A, Panama City, FL 32405-4406 2012-02-03
1861790537 Brian Keith Welch Nurse Practitioner 3228e 15th St, Panama City, FL 32405-7423 2011-03-04
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Competitor

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City PANAMA CITY
Zip Code 32401

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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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