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Active NPI 1558307835 Individual Practitioner Male Practitioner

Dr. Efren Carbonell , MD

General Practice • Port St Joe, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Efren Carbonell, MD is a certified General Practice practicing in Port St Joe, FL. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Carbonell delivers high-quality medical care to the local community at 401 CECIL G COSTIN SR BLVD.

Dr. Carbonell is affiliated with Pancare Of Florida, Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

401 Cecil G Costin Sr Blvd

Port St Joe, FL 324561928

Telephone 8502291043
Fax 8502291104
Associated Practice Facility / Clinic
🏢 Pancare Of Florida, Inc Facility NPI 1326872060

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Port St Joe, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +3.0 yrs vs City Avg
City Avg: 41.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Port St Joe, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carbonell (44 Years) 44 Yrs
Port St Joe Specialty Average (41.0 Years) 41.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-01
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN262

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 12359

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PR 12359

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1558307835 (FL)

Hospital & Practice Group Affiliations

Pancare Of Florida, Inc

401 Cecil G Costin Senior Blvd, Port St Joe, FL 324565265

Phone: 8502291043

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Janel Zimmerman , LMSW

Social Worker - Clinical

NPI 1043568637

Licensed Master Social Worker

Dr. Eric Haynam , DDS

Dentist - General Practice

NPI 1043688831

Doctor of Dental Surgery

Dr. Sean Lindsay , DMD

Dentist - General Practice

NPI 1477046290

Doctor of Dental Medicine

Mary Moore , PMHNP

Nurse Practitioner - Family

NPI 1508221284

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2026

General Practice (License #12359 in PR)

📍
Updated Practice Location June 27, 2024

Registered at 401 CECIL G COSTIN SR BLVD, PORT ST JOE, FL 324561928 (Tel: 8502291043)

📍
Updated Business Mailing Address June 27, 2024

Registered at 403 E 11TH ST, PANAMA CITY, FL 324013409 (Tel: 8507475599)

NPI Profile Active November 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2014

Registered at 1607 SAINT JAMES CT, TALLAHASSEE, FL 323085352 (Tel: 8508780191)

📍
Updated Business Mailing Address November 19, 2014

Registered at 1607 SAINT JAMES CT, TALLAHASSEE, FL 323085352 (Tel: 8508780191)

👤
Provider Name / Credentials Updated November 19, 2014

Recorded as EFREN CARBONELL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2014

Pediatrics (License #12359 in PR)

🟢
Initial NPI Registration & Enumeration June 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558307835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2006
Last Update: June 01, 2026
Sole Proprietor: No

Mailing Address

403 E 11th St

Panama City, FL 324013409

Phone: 8507475599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.