Organization
THOMAS J DERBES MD PA
Active
Organization
THOMAS J DERBES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOSEPH DERBES M.D. (PRESIDENT)
(850) 913-8996
Entity
Organization
Contact information
Practice address
2103 JENKS AVE, PANAMA CITY, FL 32405-4511
(850) 913-8996
(850) 913-8956
Mailing address
2103 JENKS AVE, PANAMA CITY, FL 32405-4511
(850) 913-8996
(850) 913-8956
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME48177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042840000
—
FL
01
—
26046
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/22/2007
Last updated
04/24/2008
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