NPI 1487439394 · live from the CMS NPI Registry
360 Blue Family Medical LLC
Nurse Practitioner, Family in Panama City, FL. National Provider Identifier 1487439394, active.
NPI record
| NPI | 1487439394 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 949 Jenks Ave Ste 6, Panama City, FL 32401 |
| Practice phone | 904-853-0809 |
| Enumerated | August 29, 2023 |
| Last updated | September 16, 2023 |
| Authorized official | Samantha Blue, Employee |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.