Organization
GULF COAST ADDICTION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BURKETT (OFFICE MANAGER)
(850) 522-1516
Entity
Organization
Contact information
Practice address
277 FOREST PARK CIR, PANAMA CITY, FL 32405-4920
(850) 522-1516
(850) 522-1518
Mailing address
277 FOREST PARK CIR, PANAMA CITY, FL 32405-4920
(850) 522-1516
(850) 522-1518
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0301
FL
Other
Enumeration date
08/16/2016
Last updated
07/21/2022
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