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Organization
GULF COAST MEDICAL AND GERIATRIC CLINIC INC
Active
Organization
GULF COAST MEDICAL AND GERIATRIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIAQAT HAYAT MD (DIRECTOR)
(850) 522-0182
Entity
Organization
Contact information
Practice address
237 E BALDWIN RD STE 102, PANAMA CITY, FL 32405-4463
(850) 522-0182
(850) 522-0184
Mailing address
PO BOX 1317, LYNN HAVEN, FL 32444-6117
(850) 522-0182
(850) 522-0184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME83788
FL
Other
Enumeration date
11/16/2006
Last updated
12/11/2023
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