| Callaway Clinic L L C | |
|
489 N Tyndall Pkwy Panama City FL 32404-6126 | |
| (850) 769-2803 | |
| (850) 913-8046 |
| Full Name | Callaway Clinic L L C |
|---|---|
| Speciality | Internal Medicine |
| Location | 489 N Tyndall Pkwy, Panama City, Florida |
| Authorized Official Name and Position | Ketan A Patel (OWNER) |
| Authorized Official Contact | 8507692803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Callaway Clinic L L C 489 N Tyndall Pkwy Panama City FL 32404-6126 Ph: (850) 769-2803 | Callaway Clinic L L C 489 N Tyndall Pkwy Panama City FL 32404-6126 Ph: (850) 769-2803 |
| NPI Number | 1659577690 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659577690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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