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Southern Vascular Of Panama City Pllc
Vascular Surgery Physician in Panama City, Florida
NPI 1699109181

Southern Vascular Of Panama City Pllc is a Vascular Surgery Physician based in Panama City, FL and is specialized in Vascular Surgery. Southern Vascular Of Panama City Pllc practices in Panama City, FL. The NPI Number for Southern Vascular Of Panama City Pllc is 1699109181 and holds a License No. (Florida).

The current practice location address for Southern Vascular Of Panama City Pllc is 1399 Jenks Ave # 12, Panama City, FL and can be reached out via phone at 850-532-6303 and via fax at 850-307-5402.

Location: 1399 Jenks Ave # 12, Panama City, FL, 32401-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699109181
Provider Name
Southern Vascular Of Panama City Pllc
Credential
Provider Entity Type
Organization
Address
1399 Jenks Ave # 12, Panama City, FL, 32401-2442
Phone Number
850-532-6303
Fax Number
850-307-5402
Provider Enumeration Date
09/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004XT 01 FL FLORIDA BLUE
DU2333 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1399 Jenks Ave # 12
City
Panama City
State
Florida
Zip
32401-2442
Phone Number
850-532-6303
Fax Number
850-307-5402
person
Provider Business Mailing Address Details
Address
1399 Jenks Ave # 12
City
Panama City
State
Florida
Zip
32401-2442
Phone Number
850-532-6303
Fax Number
850-307-5402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
(Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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