Organization
BAUMAN CHIROPRACTIC CLINIC OF NORTHWEST FLORIDA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE J DANIELS CCPA (BUSINESS MANAGER)
(850) 785-8311
Entity
Organization
Contact information
Practice address
3613 N HIGHWAY 231, PANAMA CITY, FL 32404-9743
(850) 785-8311
(850) 872-9892
Mailing address
3613 N HIGHWAY 231, PANAMA CITY, FL 32404-9743
(850) 785-8311
(850) 872-9892
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7130750001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71307500001
PTAN
FL
Enumeration date
10/31/2014
Last updated
10/31/2014
Update your record
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