Provider Demographics
NPI:1780081034
Name:HYPERMED, LLC
Entity type:Organization
Organization Name:HYPERMED, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MBR
Authorized Official - Prefix:
Authorized Official - First Name:WADE
Authorized Official - Middle Name:
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:850-502-2015
Mailing Address - Street 1:2300 JENKS AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-5469
Mailing Address - Country:US
Mailing Address - Phone:850-502-2015
Mailing Address - Fax:866-854-3159
Practice Address - Street 1:11501 HUTCHISON BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-3746
Practice Address - Country:US
Practice Address - Phone:850-502-2015
Practice Address - Fax:866-854-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty