Organization
SOUTHERN ORTHOPEDIC SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELFORD GREGGS JR. (CEO)
(850) 785-4344
Entity
Organization
Contact information
Practice address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-4344
(850) 785-6568
Mailing address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 785-4344
(850) 785-6568
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45261
GROUP BCBS NUMBER
FL
Enumeration date
06/22/2006
Last updated
12/01/2025
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