NPI 1285679050

Gulf Coast Medical Center Primary Care LLC

Organisation Obstetrics & Gynecology Physician Panama City, FL

Practice location

Address: 2202 State Ave STE. 207, Panama City, FL 32405-7601
Phone: (850) 784-2645
Fax: (850) 784-2646

Authorised official

Name: Mickey Pickler
Title: Vp
Phone: (850) 229-8288

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

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Registry record

NPI: 1285679050
Entity type: Organization
NPI issued: 17 Jun 2006
Record last updated: 24 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.