Organization
FRED E GATIHER II DPM
Active
Other names
Bay Podiatry Center
Organization subpart
No
Provider details
NPI number
Authorized official
FRED E GAITHER DPM (OWNER/DOCTOR)
(850) 763-7244
Entity
Organization
Contact information
Practice address
2 MIRACLE STRIP LOOP STE 3, PANAMA CITY BEACH, FL 32407-8412
(850) 763-7244
(850) 763-0157
Mailing address
2430 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 763-7244
(850) 763-7244
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
578NK
BLUE CROSS BLUE SHIELD
FL
01
—
65627
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
06/12/2020
Last updated
06/12/2020
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