Organization
PANAMA CITY SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL XAVIER ROHAN JR. D.O. (PRESIDENT)
(850) 481-8752
Entity
Organization
Contact information
Practice address
2636 JENKS AVE, PANAMA CITY, FL 32405-4387
(850) 481-8752
(850) 481-8758
Mailing address
2636 JENKS AVE, PANAMA CITY, FL 32405-4387
(850) 481-8752
(850) 481-8758
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OS12168
FL
Other
Enumeration date
07/29/2013
Last updated
01/09/2020
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