Organization
BAYSIDE SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIREEN S RAHMAN (OFFICE MANAGER)
(850) 276-1328
Entity
Organization
Contact information
Practice address
2933 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4411
(850) 913-6958
(850) 913-6959
Mailing address
2933 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4411
(850) 913-6958
(850) 913-6959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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