Panama City Psychiatric Care | |
217 Forest Park Cir Panama City FL 32405-4916 | |
(850) 348-6564 | |
Not Available |
Full Name | Panama City Psychiatric Care |
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Speciality | Psychiatry & Neurology |
Location | 217 Forest Park Cir, Panama City, Florida |
Authorized Official Name and Position | Gary D Gorman (PRESIDENT) |
Authorized Official Contact | 8503486564 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Panama City Psychiatric Care 217 Forest Park Cir Panama City FL 32405-4916 Ph: (850) 348-6564 | Panama City Psychiatric Care 217 Forest Park Cir Panama City FL 32405-4916 Ph: (850) 348-6564 |
NPI Number | 1548578693 |
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Provider Enumeration Date | 09/22/2010 |
Last Update Date | 04/01/2015 |
Medicare PECOS PAC ID | 6507053576 |
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Medicare Enrollment ID | O20101203000509 |
Identifier | Type | State | Issuer |
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1548578693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Gary D Gorman |
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Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1760482509 PECOS PAC ID: 7012808132 Enrollment ID: I20040320000018 |
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