Healthcare Provider Details

I. General information

NPI: 1316802424
Provider Name (Legal Business Name): STUFFY'S LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 MAGNOLIA AVE
PANAMA CITY FL
32401-2814
US

IV. Provider business mailing address

1135 MAGNOLIA AVE
PANAMA CITY FL
32401-2814
US

V. Phone/Fax

Practice location:
  • Phone: 850-532-2066
  • Fax:
Mailing address:
  • Phone: 850-532-2066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DWAYNE CORNELL MARTIN
Title or Position: OWNER
Credential:
Phone: 973-610-0705