Organization · NPI-2

Aesculap Medical Clinic LLC

Internal Medicine · Panama City, FL

NPI number1770201063
StatusActive
Last updated in NPPESJan 20, 2023

Details

NPI
1770201063
Entity type
Organization (NPI-2)
Legal business name
Aesculap Medical Clinic LLC
Organization subpart
No
Enumeration date
Aug 22, 2022
Certification date
Jan 20, 2023
Last updated
Jan 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
261QP2300X Clinic/Center, Primary Care––

Other names

  • Aesculap Medical Clinic (Doing Business As)

Practice location

2101 Northside Dr Unit 601
Panama City, FL 32405-3687

Phone 850-215-5310 · Fax 850-215-0159

Mailing address

2101 Northside Dr Unit 601
Panama City, FL 32405-3687

Phone 850-215-5310

Authorized official

Krzysztof T Lewandowski
Owner
8502155310

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