| Gd Fl Forest Park Pllc | |
|
2620 Jenks Ave Panama City FL 32405-4311 | |
| (850) 785-8586 | |
| Not Available |
| Full Name | Gd Fl Forest Park Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2620 Jenks Ave, Panama City, Florida |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Fl Forest Park Pllc 2620 Jenks Ave Panama City FL 32405-4311 Ph: (850) 785-8586 | Gd Fl Forest Park Pllc 2620 Jenks Ave Panama City FL 32405-4311 Ph: (850) 785-8586 |
| NPI Number | 1487356234 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487356234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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