Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emerald Coast Regen, PA

Organization Health Service Clinic/Center · NPI 1407479835

Emerald Coast Regen, PA is a Health Service Clinic/Center in Panama City, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1008 Jenks Ave
Panama City, FL 32401-2437
Phone: (850) 814-7686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1407479835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wesley Johnson — President · (850) 814-7686
NPI enumeratedMay 20, 2020
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing address1008 Jenks Ave, Panama City, FL 32401-2437

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