Individual
JAMES W DERUITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2309 E 15TH ST, PANAMA CITY, FL 32405-6345
(850) 747-5272
Mailing address
403 E 11TH ST, PANAMA CITY, FL 32401-3409
(850) 747-5599
(850) 747-0074
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME12877
FL
207VG0400X
Gynecology Physician
ME0012877
FL
Other
Enumeration date
08/03/2006
Last updated
05/09/2023
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