# WATERSIDE MEDICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1184001570
- **Authorized official:** DR. MICHAEL J SMITH DC (OWNER)
- **Authorized official phone:** (850) 872-1951

## Contact information

- **Practice address:** 3210 HIGHWAY 77, PANAMA CITY, FL 32405-5022
- **Practice address phone:** (850) 872-1951
- **Practice address fax:** (850) 872-1952
- **Mailing address:** 3210 HIGHWAY 77, PANAMA CITY, FL 32405-5022
- **Mailing address phone:** (850) 872-1951
- **Mailing address fax:** (850) 872-1952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS6664 | FL | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/05/2015