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Jack B Shumate M D P A
Medical Specialty Clinic/Center in Panama City, Florida
NPI 1790847077

Jack B Shumate M D P A is a Medical Specialty Clinic/Center based in Panama City, FL and is specialized in Medical Specialty. Jack B Shumate M D P A practices in Panama City, FL. The NPI Number for Jack B Shumate M D P A is 1790847077 and holds a License No. ME21390 (Florida).

The current practice location address for Jack B Shumate M D P A is 100 Doctors Dr, Panama City, FL and can be reached out via phone at 850-872-1300 and via fax at 850-872-9420.

Location: 100 Doctors Dr, Panama City, FL, 32405-7608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790847077
Provider Name
Jack B Shumate M D P A
Credential
Provider Entity Type
Organization
Address
100 Doctors Dr, Panama City, FL, 32405-7608
Phone Number
850-872-1300
Fax Number
850-872-9420
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Doctors Dr
City
Panama City
State
Florida
Zip
32405-7608
Phone Number
850-872-1300
Fax Number
850-872-9420
person
Provider Business Mailing Address Details
Address
100 Doctors Dr
City
Panama City
State
Florida
Zip
32405-7608
Phone Number
850-872-1300
Fax Number
850-872-9420
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
ME21390 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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