Organization
GULF COAST MEDICAL CENTER PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(850) 229-8288
Entity
Organization
Contact information
Practice address
2202 STATE AVE, STE. 207, PANAMA CITY, FL 32405-7601
(850) 784-2645
(850) 784-2646
Mailing address
2202 STATE AVE, STE. 207, PANAMA CITY, FL 32405-7601
(850) 784-2645
(850) 784-2646
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/17/2006
Last updated
05/24/2011
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