Organization
J L L MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L LAUBENTHAL M.D. (PSYCHIATRIST)
(850) 249-7400
Entity
Organization
Contact information
Practice address
1813 THOMAS DR, STE 6, PANAMA CITY BEACH, FL 32408-5834
(850) 249-7400
(850) 249-7424
Mailing address
PO BOX 28480, PANAMA CITY, FL 32411-8480
(850) 249-7400
(850) 249-7424
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME79504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61596Z
BCBS OF FL
FL
Enumeration date
11/22/2006
Last updated
06/15/2010
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