Awantang, Nimae N.

Awantang, Nimae N. is an individual health care provider with primary practice located at 625 W. Baldwin Rd Ste C. , Panama City FL 32405. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Awantang, Nimae N. can be contacted via phone (850) 769-6612.

Contact Information

Primary practice address
625 W. Baldwin Rd Ste C. Panama City FL 32405
Phone: (850) 769-6612
Fax: (850) 769-3553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 23996 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME113443 Florida

Profile Details

NPI number 1124156468
LBN Legal business name Awantang, Nimae N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jul 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124156468 NPPES
Florida MEDICAID 008348000

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