Organization
PARADIGM ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY V HICKMAN M.D. (OWNER)
(205) 985-7923
Entity
Organization
Contact information
Practice address
1100 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4836
(850) 916-8500
Mailing address
6831 HALCYON PARK DR, MONTGOMERY, AL 36117-6972
(334) 396-6930
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME97173
FL
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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