Organization
PANHANDLE ANESTHESIOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH KRADEL M.D. (PRESIDENT)
(850) 785-3185
Entity
Organization
Contact information
Practice address
801 E 6TH ST, SUITE 205, PANAMA CITY, FL 32401-3661
(850) 785-3185
(850) 785-6233
Mailing address
801 E 6TH ST, SUITE 205, PANAMA CITY, FL 32401-3661
(850) 785-3185
(850) 785-6233
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97088
BC/BS OF FLORIDA NUMBER
FL
Enumeration date
07/14/2006
Last updated
08/22/2020
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