MEDICARE: PANCARE OF FLORIDA, INC

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1699588574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANCARE OF FLORIDA, INC

Provider Business Mailing Address
First Line	:	403 E 11TH ST
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-3409
Country	:	US
Telephone Number	:	850-747-5599
Fax Number	:	850-874-4131

Provider Business Practice Location Address
First Line	:	807 HIGHWAY 22
Second Line	:
City	:	WEWAHITCHKA
State	:	FL
Zip	:	32465-3237
Country	:	US
Telephone Number	:	850-639-2028
Fax Number	:	850-639-2007

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	LAURA RILEY
Credential	:
Telephone Number	:	850-215-3578

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

Similar Medicare Providers

1265524391 — CURTIS JAY BLACK M.D.
Practice Location Address:

807 HIGHWAY 22
WEWAHITCHKA, FL
32465-3237

Practice Phone: 850-568-1053
Practice Fax: 850-568-1053

1326458159 — HEATHER ELAINE WELLS D.O.
Practice Location Address:

807 HIGHWAY 22
WEWAHITCHKA, FL
32465-3237

Practice Phone: 850-568-1053
Practice Fax:

1023506532 — ASCENSION SACRED HEART GULF
Practice Location Address:

805 HIGHWAY 22
WEWAHITCHKA, FL
32465-3237

Practice Phone: 850-568-1053
Practice Fax: 850-568-1140

1801464789 — DR. ANNA KAITLYN RICH DNP, APRN, FNP-C
Practice Location Address:

805 HIGHWAY 22
WEWAHITCHKA, FL
32465-3237

Practice Phone: 850-568-1053
Practice Fax: 850-568-1140

1851063192 — ASCENSION SACRED HEART GULF
Practice Location Address:

805 HIGHWAY 22
WEWAHITCHKA, FL
32465-3237

Practice Phone: 850-568-1053
Practice Fax: 850-229-5671

1336013390 — SARA MARGARET BARNES
Practice Location Address:

805 HIGHWAY 22
WEWAHITCHKA, FL
32465-3237

Practice Phone: 850-568-1053
Practice Fax:

Directions to “PANCARE OF FLORIDA, INC ” 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.