MEDICARE: ALBERT MICHAEL PICKLE R, MR

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
1	247100000X	Radiologic Technologist	35380	FL
2	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist	256881

General Provider Information

NPI Number	:	1083632095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT MICHAEL PICKLE R, MR

Provider Business Mailing Address
First Line	:	2201 ANDREWS RD
Second Line	:
City	:	LYNN HAVEN
State	:	FL
Zip	:	32444-5399
Country	:	US
Telephone Number	:	850-248-9888
Fax Number	:

Provider Business Practice Location Address
First Line	:	511 E 23RD ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-5307
Country	:	US
Telephone Number	:	850-747-8822
Fax Number	:	850-747-8664

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1134188824 — SUNCOAST OPEN MRI LLC
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-8822
Practice Fax: 850-747-8664

1225024680 — MR. SHELDON J ROBERTS PA
Practice Location Address:

509 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-215-8999
Practice Fax: 850-215-8681

1053345264 — TERRIE LYNN FRANKENFIELD R
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-8822
Practice Fax: 850-747-8664

1568480580 — JENNIFER JONE JOHNS R, CT, MR
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-8822
Practice Fax: 850-747-8664

1598873663 — TRACY LYNEE VANDERSCHAAF R, M, MR
Practice Location Address:

511 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-747-1140
Practice Fax:

1942402243 — DR. ABDEL-AZIM BAYOUMY M.D.
Practice Location Address:

509 E 23RD ST
PANAMA CITY, FL
32405-5307

Practice Phone: 850-215-3001
Practice Fax: 850-215-3668

Directions to “ ALBERT MICHAEL PICKLE R, MR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.