Organization
CMS PANAMA CITY
Active
Other names
FL DEPT OF HEALTH PANAMA CITY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN D GASTON (PROGRAM ADMINISTRATOR)
(850) 484-5040
Entity
Organization
Contact information
Practice address
230 N TYNDALL PKWY, PANAMA CITY, FL 32404-6432
(850) 872-4700
(850) 872-4817
Mailing address
230 N TYNDALL PKWY, PANAMA CITY, FL 32404-6432
(850) 872-4700
(850) 872-4817
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052562600
—
FL
Enumeration date
01/31/2006
Last updated
04/19/2013
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