MEDICARE: FLORIDA FIRST HEALTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207RG0100X	Gastroenterology Physician
5	207RI0200X	Infectious Disease Physician
6	207X00000X	Orthopaedic Surgery Physician
7	2085B0100X	Body Imaging Physician
8	208600000X	Surgery Physician
9	208M00000X	Hospitalist Physician
10	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1003350851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA FIRST HEALTH, LLC

Provider Business Mailing Address
First Line	:	233 W 14TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2205
Country	:	US
Telephone Number	:	850-640-4040
Fax Number	:	850-215-8043

Provider Business Practice Location Address
First Line	:	500 AIRPORT RD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4011
Country	:	US
Telephone Number	:	850-769-7456
Fax Number	:	850-215-5849

Authorized Official
Title or Position	:	MGR
Name	:	MR. MICHAEL P MADEWELL
Credential	:
Telephone Number	:	850-890-1407

Provider Enumeration Date	:	12/13/2016
Last Update Date	:	10/05/2017

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Directions to “FLORIDA FIRST HEALTH, LLC ” Practice Location

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