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Organization
MARION J MATHEWS MD PA
Active
Organization
MARION J MATHEWS MD PA
Active
Other names
Oaks Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARION J MATHEWS MD (PRESIDENT)
(850) 769-6105
Entity
Organization
Contact information
Practice address
114 AIRPORT RD STE C, PANAMA CITY, FL 32405-4738
(850) 769-6105
Mailing address
2655 FEROL LN, LYNN HAVEN, FL 32444-3213
(850) 769-6105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME26212
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03345
BC/BS FLORIDA
FL
01
—
3LSHB
FLORIDA BLUE-BLUE CROSS/BLUE SHIELD
FL
01
—
AH625
MEDICARE PTAN
FL
01
—
GROUP # CM0583
RAIL ROAD MEDICARE
SC
Enumeration date
10/16/2005
Last updated
09/18/2023
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