Organization
BEACH PRIMARY CARE LLC
Active
Other names
West End of the Beach Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(850) 234-8175
Entity
Organization
Contact information
Practice address
17320 PANAMA CITY BEACH PKWY, SUITE 105, PANAMA CITY, FL 32413-2024
(850) 234-8175
(850) 234-8868
Mailing address
17320 PANAMA CITY BEACH PKWY, SUITE 105, PANAMA CITY, FL 32413-2024
(850) 234-8175
(850) 234-8868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
01/10/2008
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