Organization
DREAM MEDICAL, LLC
Active
Other names
Spine & Neuro Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
AARON J SHORES M.D. (PRESIDENT)
(850) 763-8000
Entity
Organization
Contact information
Practice address
2103 JENKS AVE, PANAMA CITY, FL 32405-4511
(850) 763-8000
(850) 785-1122
Mailing address
2103 JENKS AVE, PANAMA CITY, FL 32405-4511
(850) 763-8000
(850) 785-1122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME89523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269676200
—
FL
Enumeration date
08/09/2011
Last updated
08/28/2012
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