Individual
DR. JOHN L LAUBENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2226 THOMAS DR, PANAMA CITY BEACH, FL 32408-5814
(850) 249-7400
(850) 249-7424
Mailing address
PO BOX 28480, PANAMA CITY, FL 32411-8480
(850) 249-7400
(850) 249-7424
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME79504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61596, 38589
BC OF FL: INDIVID AND GRP
FL
01
—
ME79504
FLORIDA LICENSE NUMBER
FL
Enumeration date
06/24/2005
Last updated
03/15/2012
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