Healthcare Provider Details

I. General information

NPI: 1609730902
Provider Name (Legal Business Name): RCTELEMEDLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 W 15TH ST
PANAMA CITY FL
32401-2000
US

IV. Provider business mailing address

PO BOX 16
MARIANNA FL
32447-0016
US

V. Phone/Fax

Practice location:
  • Phone: 850-964-4681
  • Fax:
Mailing address:
  • Phone: 850-964-4681
  • Fax: 850-917-0048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY HOWELL
Title or Position: CO-OWNER
Credential: MSN, RN
Phone: 850-964-4681