Organization
BAY ARTHRITIS INSTITUTE
Active
Organization
BAY ARTHRITIS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADELE MCLENNON (ADMINISTRATION/ HEAD BILLER)
(850) 215-3062
Entity
Organization
Contact information
Practice address
2401 STATE AVE STE 100, PANAMA CITY, FL 32405-3942
(850) 215-3062
(850) 215-3024
Mailing address
P.O. BOX 15459, PANAMA CITY, FL 32406-5459
(850) 215-3062
(850) 215-3024
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME106424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020424800
—
FL
Enumeration date
01/17/2014
Last updated
12/10/2019
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