Nu Wave Medical Center Pa | |
12007 Panama City Beach Parkway Panama City Beach FL 32407-2607 | |
(850) 249-6363 | |
(850) 249-6675 |
Full Name | Nu Wave Medical Center Pa |
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Speciality | Internal Medicine |
Location | 12007 Panama City Beach Parkway, Panama City Beach, Florida |
Authorized Official Name and Position | Gurprit Sekhon (MD) |
Authorized Official Contact | 8502496363 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nu Wave Medical Center Pa P.o. Box 9415 Panama City Beach FL 32407-3823 Ph: (850) 249-6363 | Nu Wave Medical Center Pa 12007 Panama City Beach Parkway Panama City Beach FL 32407-2607 Ph: (850) 249-6363 |
NPI Number | 1245475367 |
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Provider Enumeration Date | 12/03/2008 |
Last Update Date | 03/03/2009 |
Medicare PECOS PAC ID | 5294891818 |
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Medicare Enrollment ID | O20090306000187 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245475367 | NPI | - | NPPES |
263126100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME83912 (Florida) | Primary |
Provider Name | Gurprit Sekhon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871541094 PECOS PAC ID: 2062455744 Enrollment ID: I20050603000255 |
Provider Name | Lauren A Shimp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164906715 PECOS PAC ID: 4688918626 Enrollment ID: I20181203002117 |
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