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Gulf Coast Podiatry, Pa
Foot Surgery Podiatrist in Panama City, Florida
NPI 1295745560

Gulf Coast Podiatry, Pa is a Foot Surgery Podiatrist based in Panama City, FL and is specialized in Foot Surgery. Gulf Coast Podiatry, Pa practices in Panama City, FL. The NPI Number for Gulf Coast Podiatry, Pa is 1295745560 and holds a License No. (Florida).

The current practice location address for Gulf Coast Podiatry, Pa is 2507 Harrison Ave Unit 201, Panama City, FL and can be reached out via phone at 850-769-0325 and via fax at 850-769-4476.

Location: 2507 Harrison Ave Unit 201, Panama City, FL, 32405-4447
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295745560
Provider Name
Gulf Coast Podiatry, Pa
Credential
Provider Entity Type
Organization
Address
2507 Harrison Ave Unit 201, Panama City, FL, 32405-4447
Phone Number
850-769-0325
Fax Number
850-769-4476
Provider Enumeration Date
08/09/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45803 01 FL BLUECROSSBLUESHIELD
CK8386 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2507 Harrison Ave Unit 201
City
Panama City
State
Florida
Zip
32405-4447
Phone Number
850-769-0325
Fax Number
850-769-4476
person
Provider Business Mailing Address Details
Address
2507 Harrison Ave Unit 201
City
Panama City
State
Florida
Zip
32405-4447
Phone Number
850-769-0325
Fax Number
850-769-4476
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
()
Definition
Definition to come...
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