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NPI Code Detail

MEDICARE: NORTHWEST FLORIDA A S C LP

MEDICARE: NORTHWEST FLORIDA A S C LP
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
1261QA1903XAmbulatory Surgical Clinic/Center952FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P000962901OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992785232
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST FLORIDA A S C LP
Provider Business Mailing Address
First Line : 1A BURTON HILLS BLVD STE 300
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6153
Country : US
Telephone Number : 615-240-3820
Fax Number : 615-234-1720
Provider Business Practice Location Address
First Line : 204B E 19TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4707
Country : US
Telephone Number : 850-769-7599
Fax Number : 850-769-7389
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY SNODGRASS
Credential :
Telephone Number : 615-665-1283
Provider Enumeration Date : 01/20/2006
Last Update Date : 09/24/2025

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Directions to “NORTHWEST FLORIDA A S C LP ” Practice Location

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