Provider Demographics
NPI:1659345114
Name:OVERMYER, PAMELA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANN
Last Name:OVERMYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 S SUDDUTH PL
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32404-6741
Mailing Address - Country:US
Mailing Address - Phone:850-215-4034
Mailing Address - Fax:
Practice Address - Street 1:238 S SUDDUTH PL
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32404-6741
Practice Address - Country:US
Practice Address - Phone:850-215-4034
Practice Address - Fax:850-215-4036
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92432207R00000X
TXK2770207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI41856Medicare UPIN