| Panhandle Surgical Institute Llc | |
|
710 Hospital Dr Crestview FL 32539-7380 | |
| (850) 398-8480 | |
| (850) 398-8482 |
| Full Name | Panhandle Surgical Institute Llc |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 710 Hospital Dr, Crestview, Florida |
| Authorized Official Name and Position | Michael D Gilmore (PRESIDENT) |
| Authorized Official Contact | 8503988480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panhandle Surgical Institute Llc 710 Hospital Dr Crestview FL 32539-7380 Ph: (850) 398-8480 | Panhandle Surgical Institute Llc 710 Hospital Dr Crestview FL 32539-7380 Ph: (850) 398-8480 |
| NPI Number | 1144458621 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144458621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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