Individual
PAUL H WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5412
(850) 522-4485
(850) 914-6281
Mailing address
4408 DELWOOD LN, PANAMA CITY BEACH, FL 32408-7492
(850) 636-7000
(850) 636-7072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME55057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18041
BCBS OF FL
FL
05
—
376103700
—
FL
05
—
376103701
—
FL
05
—
376103702
—
FL
Enumeration date
06/22/2005
Last updated
01/29/2015
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