Sea Oats Medical Clinic
Physician Assistant in Panama City, FL. Organization (NPI-2).
NPI number1407919087
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1407919087
- Entity type
- Organization (NPI-2)
- Legal business name
- Sea Oats Medical Clinic
- Organization subpart
- No
- Enumeration date
- Dec 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA2654 | FL | Yes |
Practice location
508 Airport RdSte C & D
Panama City, FL 32405-4030
Phone 850-769-8624
Mailing address
508 Airport RdSte C & D
Panama City, FL 32405-4030
Authorized official
James D Deas
Pac
8507698624
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