Individual
DR. JEFFREY R PYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
Mailing address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS 6900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267365700
—
FL
01
—
80970
BLUE CROSS & BLUE SHIELD
FL
01
—
P00028192
RR MEDICARE
FL
Enumeration date
07/10/2006
Last updated
02/23/2015
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