Organization
GILLIGAN AND FERNEMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STIG FERNEMAN (CO-OWNER)
(850) 532-3640
Entity
Organization
Contact information
Practice address
7328 THOMAS DR, SUITE B, PANAMA CITY BEACH, FL 32408-7500
(850) 588-8695
(850) 588-8696
Mailing address
PO BOX 9166, PANAMA CITY BEACH, FL 32417-9166
(850) 588-8695
(850) 588-8696
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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