# JOHN M WAMBO MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053423368
- **Authorized official:** DR. JOHN M WAMBO M.D. (PRESIDENT)
- **Authorized official phone:** (850) 785-4800

## Contact information

- **Practice address:** 2202 STATE AVE, SUITE 207, PANAMA CITY, FL 32405-7601
- **Practice address phone:** (850) 785-4800
- **Practice address fax:** (850) 785-5001
- **Mailing address:** 2202 STATE AVE, SUITE 207, PANAMA CITY, FL 32405-7601
- **Mailing address phone:** (850) 785-4800
- **Mailing address fax:** (850) 785-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME44127 | FL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03617 | BCBS OF FLORIDA | FL |