Organization
JACK B SHUMATE M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK B SHUMATE (PHYSICIAN)
(850) 872-1300
Entity
Organization
Contact information
Practice address
100 DOCTORS DR, STE. B, PANAMA CITY, FL 32405-7608
(850) 872-1300
(850) 872-9420
Mailing address
100 DOCTORS DR, STE. B, PANAMA CITY, FL 32405-7608
(850) 872-1300
(850) 872-9420
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME21390
FL
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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