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Organization

SOUTHERN BAY ANESTHESIA & PAIN MANAGEMENT PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER J SPENCER M.D. (PRESIDENT)
(850) 872-2587
Entity
Organization

Contact information

Practice address
801 E 6TH ST, PANAMA CITY, FL 32401-3661
(850) 872-2587
(850) 784-7706
Mailing address
PO BOX 24, PANAMA CITY, FL 32402-0024
(850) 872-2587
(850) 784-7706

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME48318
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02293
BCBS FLORIDA
FL
Enumeration date
09/13/2006
Last updated
08/22/2020
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