| Garry G Banks Md Pa | |
|
552 Twin Cities Blvd Suite A Niceville FL 32578-1055 | |
| (850) 678-7676 | |
| (850) 678-8240 |
| Full Name | Garry G Banks Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 552 Twin Cities Blvd, Niceville, Florida |
| Authorized Official Name and Position | Garry G Banks (PRESIDENT) |
| Authorized Official Contact | 8506787676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garry G Banks Md Pa 552 Twin Cities Blvd Suite A Niceville FL 32578-1055 Ph: (850) 678-7676 | Garry G Banks Md Pa 552 Twin Cities Blvd Suite A Niceville FL 32578-1055 Ph: (850) 678-7676 |
| NPI Number | 1760624704 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 04/06/2009 |
| Medicare PECOS PAC ID | 4587711254 |
|---|---|
| Medicare Enrollment ID | O20090415000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760624704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0062947 (Florida) | Primary |
| Provider Name | Garry G Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588631493 PECOS PAC ID: 1052468725 Enrollment ID: I20090415000404 |
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