Individual provider · NPI-1

Dr. Nimae N. Awantang, M.D.

Family Medicine · Panama City, FL

NPI number1124156468
StatusActive
Last updated in NPPESJul 1, 2022

Details

NPI
1124156468
Entity type
Individual (NPI-1)
Name
Dr. Nimae N. Awantang
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2007
Certification date
Jul 1, 2022
Last updated
Jul 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME113443FLYes
208D00000X General Practice23996FL

Other names

  • Nimae N. Angwafo (Former Name)

Practice location

625 W. Baldwin Rd Ste C.
Panama City, FL 32405

Phone 850-769-6612 · Fax 850-769-3553

Mailing address

1702 Ohio Ave
Lynn Haven, FL 32444

Phone 850-571-5844 · Fax 850-571-5845

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