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General NPI Number Information
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NPI Number | 1356156327
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Entity Type | Organization
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Legal Business Name | PAYERO FAMILY MEDICINE, P.A.
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 2507 HARRISON AVE UNIT 101
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City | PANAMA CITY
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State | FL
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Zip | 32405-4447
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Country | US
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Telephone | 718-309-9374
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Fax |
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Provider Business Mailing Address
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Address Line | 420 CHURCHWELL DR UNIT 19495
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-3823
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Country | US
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Telephone | 850-710-1999
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Fax | 850-772-0838
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELFY PAYERO-GONZALEZ
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Credential | MD
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Telephone | 850-710-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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