Louis Profeta, MD
Emergency Medicine in Panama City, FL. Individual provider (NPI-1).
NPI number1063506830
StatusActive
Last updated in NPPESJan 26, 2026
Details
- NPI
- 1063506830
- Entity type
- Individual (NPI-1)
- Name
- Louis Profeta
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Certification date
- Jan 26, 2026
- Last updated
- Jan 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | ME164638 | FL | Yes |
| 207P00000X | Emergency Medicine | 01041413 | IN |
Practice location
615 N Bonita AvePanama City, FL 32401-3623
Phone 850-769-1511
Mailing address
1601 Cummins Dr Ste DModesto, CA 95358-6411
Other practice locations
3801 E Highway 98
Port St Joe, FL 32456-5318
Port St Joe, FL 32456-5318
Phone 806-853-7111
2001 W 86th St
Indianapolis, IN 46260-1902
Indianapolis, IN 46260-1902
Phone 317-802-3140 · Fax 317-870-0499
11111 Panama City Beach Pkwy
Panama City Beach, FL 32407-2448
Panama City Beach, FL 32407-2448
Phone 850-769-1511
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