Panhandle Surgical Institute LLC

NPI #1144458621 in Crestview, Florida

Provider Information

NPI Number
1144458621
Entity Type
Organization
Organization Name
Panhandle Surgical Institute LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jun 23, 2009
Last Updated
Jun 23, 2009

Practice Location

Address
710 HOSPITAL DR
State
Florida
ZIP Code
32539-7380
Phone
(850) 398-8480

Authorized Official

Name
MICHAEL D GILMORE, MD
Title
PRESIDENT
Phone
(850) 398-8480

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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