Organization
GPD PATHOLOGY LLC
Active
Other names
CarePath DX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON WARD M.D. (PRESIDENT)
(850) 248-7284
Entity
Organization
Contact information
Practice address
1710 LISENBY AVE, PANAMA CITY, FL 32405-3730
(850) 248-7284
Mailing address
1710 LISENBY AVE, PANAMA CITY, FL 32405-3730
(850) 248-7284
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/22/2013
Last updated
09/13/2013
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