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PANCARE OF FLORIDA, INC
NPI 1609689504
Clinic/Center - Federally Qualified Health Center (FQHC) in Port St Joe, FL

Active since January 27, 2025
401 CECIL G COSTIN SR BLVD, PORT ST JOE, FL 32456(850) 229-1043(850) 229-1104 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pancare Of Florida, Inc NPPES

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

PANCARE OF FLORIDA, INC (NPI 1609689504) is a healthcare organization registered as a federally qualified health center (fqhc) in Port St Joe, Florida and active in the NPI registry since January 2025. The organization lists Laura Riley, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1609689504
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePANCARE OF FLORIDA, INC
Location Address401 CECIL G COSTIN SR BLVDPort St Joe, FL 32456-1928
Mailing Address403 E 11th StPanama City, FL 32401-3409 · (850) 747-5599 · Fax (850) 874-4131
Phone(850) 229-1043
Fax(850) 229-1104
Organization SubpartNo
Authorized OfficialLaura RileyBilling Manager · (850) 215-3578
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1609689504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
401 CECIL G COSTIN SR BLVD, Port St Joe, FL 32456
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Other Names 1

Other NamePancare Dental Psj

Other Providers at the Same Location NPPES 6

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

MISS JANEL DENISE ZIMMERMAN LMSW
Social Worker (Clinical)
401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL 32456
Gulf County (850) 229-1043
DR. ERIC HAYNAM D.D.S
Dentist (General Practice)
401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL 32456
Gulf County (850) 229-1043
PANCARE OF FLORIDA, INC
Pharmacy (Community/Retail Pharmacy)
401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL 32456
Gulf County (850) 229-1043
MS. MARY SUE MOORE PMHNP
Nurse Practitioner (Family)
401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL 32456
Gulf County (850) 229-1043
PANCARE OF FLORIDA, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL 32456
Gulf County (850) 229-1043
DR. EFREN CARBONELL M.D.
General Practice
401 CECIL G COSTIN SR BLVD
PORT ST JOE, FL 32456
Gulf County (850) 229-1043

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 Pancare Of Florida, Inc's NPI number?

The NPI number for Pancare Of Florida, Inc is 1609689504. It was assigned to this organization in the NPPES registry on January 27, 2025. The provider is also known as Pancare Dental Psj.

Where is Pancare Of Florida, Inc located?

Pancare Of Florida, Inc is located at 401 Cecil G Costin Sr Blvd, Port St Joe, FL 32456. The listed phone number is (850) 229-1043.

What is Pancare Of Florida, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Pancare Of Florida, Inc was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.