Organization
PANAMA CITY NEUROSURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANN HEDSTROM MD (PROVIDER/OWNER)
(850) 392-0020
Entity
Organization
Contact information
Practice address
15 DOCTORS DR, PANAMA CITY, FL 32405-4520
(508) 392-0020
(850) 392-7897
Mailing address
15 DOCTORS DR, PANAMA CITY, FL 32405-4520
(850) 392-0020
(850) 392-7897
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME125560
FL
Other
Enumeration date
11/04/2016
Last updated
11/05/2024
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