MEDICARE: AFC FLORIDA, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207Q00000X	Family Medicine Physician	FL
2	208D00000X	General Practice Physician	FL
3	207R00000X	Internal Medicine Physician	FL
4	261QP2300X	Primary Care Clinic/Center
5	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HO411A	OTHER	FL	MCR PTAN
2	HCC10710	OTHER	FL	AHCA EXEMPTION

General Provider Information

NPI Number	:	1457754301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFC FLORIDA, LLC

Provider Business Mailing Address
First Line	:	3700 CAHABA BEACH RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5225
Country	:	US
Telephone Number	:	205-745-4291
Fax Number	:	205-421-2109

Provider Business Practice Location Address
First Line	:	15415 PANAMA CITY BEACH PARKWAY
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32413-0000
Country	:	US
Telephone Number	:	205-403-8902
Fax Number	:	205-421-2109

Authorized Official
Title or Position	:	CEO
Name	:	JEREMY MORGAN
Credential	:
Telephone Number	:	205-271-5068

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	03/16/2026

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Directions to “AFC FLORIDA, LLC ” Practice Location

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