MEDICARE: TALLIE L CLUXTON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH8571	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	73011	OTHER	FL	BCBS OF FL PROVIDER #
2	78727743	OTHER	FL	GREENWAVE AETNA PROVIDER

General Provider Information

NPI Number	:	1477660215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALLIE L CLUXTON DC

Provider Business Mailing Address
First Line	:	215 FOREST PARK CIR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4916
Country	:	US
Telephone Number	:	850-215-5657
Fax Number	:	850-215-5658

Provider Business Practice Location Address
First Line	:	215 FOREST PARK CIR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4916
Country	:	US
Telephone Number	:	850-215-5657
Fax Number	:	850-215-5658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1548578693 — PANAMA CITY PSYCHIATRIC CARE
Practice Location Address:

217 FOREST PARK CIR
PANAMA CITY, FL
32405-4916

Practice Phone: 850-348-6564
Practice Fax:

1760482509 — GARY D GORMAN M.D.
Practice Location Address:

217 FOREST PARK CIR
PANAMA CITY, FL
32405-4916

Practice Phone: 850-348-6564
Practice Fax:

1215912068 — ATA ULHAQ MD
Practice Location Address:

201 FOREST PARK CIR
PANAMA CITY, FL
32405-4916

Practice Phone: 850-248-7777
Practice Fax: 850-248-7779

1043327794 — JOHN C CLUXTON PHD,LMFT,LMHC,NCC
Practice Location Address:

215 FOREST PARK CIR
PANAMA CITY, FL
32405-4916

Practice Phone: 850-215-5657
Practice Fax: 850-215-5658

1568662864 — GREEN WAVE FAMILY WELLNESS CENTER
Practice Location Address:

215 FOREST PARK CIR
PANAMA CITY, FL
32405-4916

Practice Phone: 850-215-5657
Practice Fax: 850-215-5658

1760675649 — DR. GLORIA S TIPTON ED.D., M.S.W.
Practice Location Address:

215 FOREST PARK CIR
PANAMA CITY, FL
32405-4916

Practice Phone: 850-249-1524
Practice Fax: 850-215-5658

Directions to “ TALLIE L CLUXTON DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.