Organization
CARDIOVASCULAR INSTITUTE OF NW FLORIDA CENTER OF EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED LEGER (AUTHORIZED OFFICIAL)
(337) 274-6549
Entity
Organization
Contact information
Practice address
625 W BALDWIN RD STE D, PANAMA CITY, FL 32405-3359
(210) 621-5621
Mailing address
13830 SAWYER RANCH RD STE 105, DRIPPING SPRINGS, TX 78620-5514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
03/02/2023
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