DOC PAM, PA – NPI #1295106334
Clinic/Center

DOC PAM, PA is an AHC clinic located in WINTER PARK, FL. NPPES has assigned the NPI number 1295106334 to DOC PAM, PA on October 15, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOC PAM, PA below.

NPI Profile for
DOC PAM, PA

NPI Number
1295106334
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOC PAM, PA
Primary location
201 N LAKEMONT AVE
SUITE 200
WINTER PARK, FL 32792-3228
Phone: (321) 203-4410 Fax: (321) 203-4409
Mailing address
1719 LOCH BERRY RD
WINTER PARK, FL 32789-5221
Phone: (321) 662-2043 Fax: (321) 203-4409
Organization Subpart
No
Authorized Official
PAMELA TROUT
PRESIDENT
Phone: (321) 662-2043
Updated
Identifiers

Identifiers for DOC PAM, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherFLORIDA STATE LICENSEFLME94271
medicaidFL274282900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 FL ME94271

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.