Individual
KARL FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6020 WALLACE RD, PANAMA CITY, FL 32404-8724
(502) 396-9781
Mailing address
6020 WALLACE RD, PANAMA CITY, FL 32404-8724
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
100088654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756281
—
FL
Enumeration date
12/06/2019
Last updated
12/06/2019
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