| Gulf Coast Medical And Geriatric Clinic Inc | |
|
237 E Baldwin Rd Ste 102 Panama City FL 32405-4463 | |
| (850) 522-0182 | |
| (850) 522-0184 |
| Full Name | Gulf Coast Medical And Geriatric Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 237 E Baldwin Rd Ste 102, Panama City, Florida |
| Authorized Official Name and Position | Liaqat Hayat (DIRECTOR) |
| Authorized Official Contact | 8505220182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Medical And Geriatric Clinic Inc Po Box 1317 Lynn Haven FL 32444-6117 Ph: (850) 522-0182 | Gulf Coast Medical And Geriatric Clinic Inc 237 E Baldwin Rd Ste 102 Panama City FL 32405-4463 Ph: (850) 522-0182 |
| NPI Number | 1831262229 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 6709888639 |
|---|---|
| Medicare Enrollment ID | O20070206000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831262229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME83788 (Florida) | Primary |
| Provider Name | Liaqat Hayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326141920 PECOS PAC ID: 9032211784 Enrollment ID: I20070227000084 |
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