Organization
PANAMA CITY PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE YOUNGBLOOD (BILLING)
(850) 769-7270
Entity
Organization
Contact information
Practice address
500 AIRPORT RD, PANAMA CITY, FL 32405-4011
(850) 769-7270
(850) 769-7229
Mailing address
500 AIRPORT RD, PANAMA CITY, FL 32405-4011
(850) 769-7270
(850) 769-7229
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME67903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27145
BCBS
FL
01
—
416430891
TRICARE
FL
Enumeration date
11/01/2006
Last updated
05/13/2025
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