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Individual

JOHN D GARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
435 AIRPORT BLVD, PENSACOLA, FL 32503-7847
(850) 435-7448
(850) 435-3156
Mailing address
435 AIRPORT BLVD, PENSACOLA, FL 32503-7847
(850) 435-7448
(850) 435-3156

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME91924
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME91924
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271951700
FL
01
52257Z
BCBS FLORIDA
FL
01
59176307
BCBS ALABAMA
AL
01
C005
WELLCARE
FL
01
C863
MED3000
FL
01
P00185982
RAILROAD MEDICARE
Enumeration date
07/23/2006
Last updated
07/11/2012
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