Organization
DCDW MEDICAL SERVICES INC
Active
Other names
Gulf View Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEN CELENIA MORITZ (ADMINISTRATOR)
(850) 248-1898
Entity
Organization
Contact information
Practice address
16900 FRONT BEACH RD, PANAMA CITY BEACH, FL 32413-2345
(850) 234-1898
(850) 234-7670
Mailing address
16900 FRONT BEACH RD, PANAMA CITY BEACH, FL 32413-2345
(850) 234-1898
(850) 234-7670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0589
FL
208D00000X
General Practice Physician
OS0589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043L
FLORIDA BLUE
FL
05
—
008171000
—
FL
Enumeration date
02/12/2013
Last updated
09/01/2022
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