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Organization

WHITE SANDS ANESTHESIA & PAIN MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH M ZWINGELBERG M.D. (PRESIDENT)
(850) 872-0303
Entity
Organization

Contact information

Practice address
2338 STATE AVE, PANAMA CITY, FL 32405-4361
(850) 872-0303
(850) 872-0305
Mailing address
PO BOX 1968, PANAMA CITY, FL 32402-1968
(850) 872-0303
(850) 872-0305

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME36522
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03579A
BCBS FL
FL
Enumeration date
07/21/2006
Last updated
12/05/2012
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