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Organization
JOHN M WAMBO MD
Active
Organization
JOHN M WAMBO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M WAMBO M.D. (PRESIDENT)
(850) 785-4800
Entity
Organization
Contact information
Practice address
2202 STATE AVE, SUITE 207, PANAMA CITY, FL 32405-7601
(850) 785-4800
(850) 785-5001
Mailing address
2202 STATE AVE, SUITE 207, PANAMA CITY, FL 32405-7601
(850) 785-4800
(850) 785-5001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME44127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03617
BCBS OF FLORIDA
FL
Enumeration date
08/31/2006
Last updated
08/22/2020
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