Individual
DR. JAY SOURBEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
321 BULLFINCH ROAD, NAVY EXPERIMENTAL DIVING UNIT, PANAMA CITY, FL 32407-7015
(850) 230-3148
Mailing address
321 BULLFINCH ROAD, NAVY EXPERIMENTAL DIVING UNIT, PANAMA CITY, FL 32407-7015
(850) 230-3148
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
ME58815
FL
Other
Enumeration date
03/14/2006
Last updated
04/03/2017
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