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NPI Code Detail

MEDICARE: PHYSICIAN SERVICES GROUP OF FLORIDA, LLC

MEDICARE: PHYSICIAN SERVICES GROUP OF FLORIDA, LLC
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
1261QM1300XMulti-Specialty Clinic/Center
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1235775396
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIAN SERVICES GROUP OF FLORIDA, LLC
Provider Business Mailing Address
First Line : 3000 GULF BREEZE PKWY
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-5623
Country : US
Telephone Number : 850-324-9633
Fax Number : 850-366-1067
Provider Business Practice Location Address
First Line : 3000 GULF BREEZE PKWY
Second Line :
City : GULF BREEZE
State : FL
Zip : 32563-5623
Country : US
Telephone Number : 850-324-9633
Fax Number : 850-366-1067
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : CHRISTOPHER R DENAPOLES, MD
Credential :
Telephone Number : 864-303-8650
Provider Enumeration Date : 11/25/2019
Last Update Date : 04/23/2026

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Directions to “PHYSICIAN SERVICES GROUP OF FLORIDA, LLC ” Practice Location

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