WILSON SHULTERBRANDT HOLDINGS, LLC
NPI 1912701830
Clinic/Center in Panama City Beach, FL

Active since April 01, 2025
13569 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407(850) 238-8563(850) 238-8564 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wilson Shulterbrandt Holdings, Llc NPPES

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

WILSON SHULTERBRANDT HOLDINGS, LLC (NPI 1912701830), doing business as The Anti-aging Clinic Of Northwest Florida, is a healthcare organization registered as a clinic/center in Panama City Beach, Florida and active in the NPI registry since April 2025. The organization lists Angel Shulterbrandt, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1912701830
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWILSON SHULTERBRANDT HOLDINGS, LLC
Location Address13569 PANAMA CITY BEACH PKWYPanama City Beach, FL 32407-2847
Mailing Address3316 Charles CtChalmette, LA 70043-2615 · (985) 517-4561
Fax(850) 238-8564
Organization SubpartNo
Authorized OfficialAngel ShulterbrandtCo-owner · (985) 517-4561
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
NPI 1912701830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

13569 PANAMA CITY BEACH PKWY, Panama City Beach, FL 32407

Other Names 1

Doing Business AsThe Anti-aging Clinic Of Northwest Florida

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
13569 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407
Nurse Practitioner
13569 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407
Nurse Practitioner (Family)
13569 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407
Nurse Practitioner (Family)
13569 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH, FL 32407

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912701830, enumerated as an "organization" on April 01, 2025.

The provider is located at 13569 PANAMA CITY BEACH PKWY PANAMA CITY BEACH, FL 32407 and the phone number is (850) 238-8563.

Clinic/Center with taxonomy code 261Q00000X.