Organization
PRUITTHEALTH - PANAMA CITY, LLC
Active
Other names
PruittHealth - Panama City
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL L. PRUITT JR. (CHAIRMAN AND CEO OF MANAGER)
(770) 279-6200
Entity
Organization
Contact information
Practice address
3212 JENKS AVE, PANAMA CITY, FL 32405-4224
(850) 771-1521
(850) 771-1522
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
11/09/2018
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