Organization
SURGICAL ASSOCIATES OF NORTHWEST FL PA
Active
Other names
Surgical Associates of Northwest FL PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BOULWARE WILSON M.D. (PRESIDENT)
(850) 785-3232
Entity
Organization
Contact information
Practice address
740 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 785-3232
(850) 747-8648
Mailing address
740 HARRISON AVE, PANAMA CITY, FL 32401-2524
(850) 785-3232
(850) 747-8648
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NOT APPLICABLE
FL
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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