Provider Demographics
NPI:1952466351
Name:PANZER, TODD R (APRN-C)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:R
Last Name:PANZER
Suffix:
Gender:M
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1132
Mailing Address - Country:US
Mailing Address - Phone:352-565-5256
Mailing Address - Fax:352-565-5227
Practice Address - Street 1:101 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1132
Practice Address - Country:US
Practice Address - Phone:352-565-5256
Practice Address - Fax:352-565-5227
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9227449363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ23995Medicare UPIN
FLBK005YMedicare PIN