Organization
GULF COAST ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN FRANCIS ELZAWAHRY MD (OWNER)
(850) 747-0400
Entity
Organization
Contact information
Practice address
767 AIRPORT RD, PANAMA CITY, FL 32405-4000
(850) 747-0400
(850) 913-9744
Mailing address
767 AIRPORT RD, PANAMA CITY, FL 32405-4000
(850) 747-0400
(850) 913-9744
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L04000049725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74982
BCBS
FL
Enumeration date
08/03/2005
Last updated
08/22/2020
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