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Organization
MEDICAL CLINIC PCB
Active
Organization
MEDICAL CLINIC PCB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B SPERRAZZA M.D. (DOCTOR/OWNER)
(850) 249-1002
Entity
Organization
Contact information
Practice address
8317 FRONT BEACH RD STE 37B, PANAMA CITY BEACH, FL 32407-4896
(850) 249-1002
(850) 769-2366
Mailing address
8317 FRONT BEACH RD STE 37B, PANAMA CITY BEACH, FL 32407-4896
(850) 249-1002
(850) 769-2366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME94438
FL
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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