Edward D. Gibson Jr Md Pa | |
1514 W 23rd St Ste A-4 Panama City FL 32405-2905 | |
(850) 624-9634 | |
(850) 769-2366 |
Full Name | Edward D. Gibson Jr Md Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1514 W 23rd St Ste A-4, Panama City, Florida |
Authorized Official Name and Position | Edward D Gibson (OWNER/ PHYSHIAN) |
Authorized Official Contact | 8506249634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edward D. Gibson Jr Md Pa 12241 Lyndell Plantation Dr Panama City Beach FL 32407-2617 Ph: (850) 624-9634 | Edward D. Gibson Jr Md Pa 1514 W 23rd St Ste A-4 Panama City FL 32405-2905 Ph: (850) 624-9634 |
NPI Number | 1245501378 |
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Provider Enumeration Date | 01/20/2012 |
Last Update Date | 01/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245501378 | NPI | - | NPPES |
53278 | Other | FL | BCBS OF FLORIDA |
56431100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME11148 (Florida) | Primary |
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