Organization
FOREST PARK MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSH E AKIN SR. M.D. (PHYSICIAN/PRESIDENT)
(850) 785-6141
Entity
Organization
Contact information
Practice address
304 W 23RD ST, PANAMA CITY, FL 32405-4506
(850) 785-6141
(850) 763-0404
Mailing address
304 W 23RD ST, PANAMA CITY, FL 32405-4506
(850) 785-6141
(850) 763-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK7893
RAILROAD MEDICARE
FL
Enumeration date
09/21/2006
Last updated
10/25/2007
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