Organization
MARIUSZ J KLIN M D P A
Active
Organization
MARIUSZ J KLIN M D P A
Active
Other names
Emerald Coast Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHNE ANN BLACKWELL (OFFICE MANAGER)
(850) 215-7071
Entity
Organization
Contact information
Practice address
2202 STATE AVE, SUITE 301, PANAMA CITY, FL 32405-7601
(850) 215-7071
(850) 215-7073
Mailing address
2202 STATE AVE, SUITE 301, PANAMA CITY, FL 32405-7601
(850) 215-7071
(850) 215-7073
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME85851
FL
Other
Enumeration date
07/28/2008
Last updated
07/23/2025
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