# SOUTHERN BAY ANESTHESIA & PAIN MANAGEMENT PA

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

## Provider details

- **NPI number:** 1275637779
- **Authorized official:** DR. ROGER J SPENCER M.D. (PRESIDENT)
- **Authorized official phone:** (850) 872-2587

## Contact information

- **Practice address:** 801 E 6TH ST, PANAMA CITY, FL 32401-3661
- **Practice address phone:** (850) 872-2587
- **Practice address fax:** (850) 784-7706
- **Mailing address:** PO BOX 24, PANAMA CITY, FL 32402-0024
- **Mailing address phone:** (850) 872-2587
- **Mailing address fax:** (850) 784-7706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME48318 | FL | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020
