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Individual

CRAIG H BAMME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5317 GULFPORT BLVD S, GULFPORT, FL 33707-4947
(727) 209-2828
(727) 209-2829
Mailing address
5317 GULFPORT BLVD S, GULFPORT, FL 33707-4947
(727) 209-2828
(727) 209-2829

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4073
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OS4073
FLORIDA LICENSE
FL
Enumeration date
09/27/2006
Last updated
07/08/2007
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