1. Home
  2. Directory
  3. Florida
  4. Panama City Beach
  5. Family Medicine
  6. NPI Profile

FLORIDA WELLNESS GROUP
NPI 1407406820
Family Medicine in Panama City Beach, FL

Active since September 17, 2019CLIA 10D2186617 · Waiver
12111 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407(850) 588-1066 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2024, Jun 29, 2020, Jun 2, 2020 and 2 more (5 updates tracked since 2019).

About Florida Wellness Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA WELLNESS GROUP (NPI 1407406820) is a healthcare organization registered as a family medicine in Panama City Beach, Florida and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Evan Ellenberg, President, as its authorized official.

NPPES Registry Identity

NPI1407406820
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMTU PROPERTIES, LLC
Location Address12111 PANAMA CITY BEACH PKWYPanama City Beach, FL 32407-2609
Mailing Address12111 Panama City Beach PkwyPanama City Beach, FL 32407-2609
Phone(850) 588-1066
Organization SubpartNo
Authorized OfficialEvan EllenbergPresident · (850) 588-1066
Enumeration DateSeptember 17, 2019
Last NPPES UpdateNovember 21, 20245 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1407406820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12111 PANAMA CITY BEACH PKWY, Panama City Beach, FL 32407
Open in Google Maps ↗

Other Names 1

Doing Business AsFlorida Wellness Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2186617

Mtu Properties LLC · Panama City Beach, FL
Active · expires Mar 20, 2027
CLIA Number10D2186617
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorRichard H. Maughon
Laboratory Phone(850) 588-1066
Laboratory LocationMtu Properties LLC12111 Panama City Beach Parkway, Panama City Beach, FL 32407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY ARNOLD MARTIN APRN-C
Family Medicine
12111 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407
Bay County (850) 588-1066
DR. PAIGE CARISSA CHENOWETH-ALLEN PT, DPT
Physical Therapist
12111 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407
Bay County (850) 236-7497

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mtu Properties, LLC's NPI number?

The NPI number for Mtu Properties, LLC is 1407406820. It was assigned to this organization in the NPPES registry on September 17, 2019. The provider is doing business as Florida Wellness Group.

Where is Mtu Properties, LLC located?

Mtu Properties, LLC is located at 12111 Panama City Beach Pkwy, Panama City Beach, FL 32407. The listed phone number is (850) 588-1066.

What is Mtu Properties, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mtu Properties, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2186617) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mtu Properties, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mtu Properties, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mtu Properties, LLC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.