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Organization

THOMAS J. DERBES, M.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRENDA BURNS (ADM)
(850) 872-1300
Entity
Organization

Contact information

Practice address
100 DOCTORS DR, SUITE B, PANAMA CITY, FL 32405-7608
(850) 872-1300
(850) 872-1300
Mailing address
100 DOCTORS DR, SUITE B, PANAMA CITY, FL 32405-7608
(850) 872-1300
(850) 872-9420

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME48177
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26046
BLUE CROSS
FL
Enumeration date
04/08/2016
Last updated
04/08/2016
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