Surgical Associates of Northwest Fl PA
NPI #1922031343 in Panama City, Florida
Provider Information
- NPI Number
- 1922031343
- Entity Type
- Organization
- Organization Name
- Surgical Associates of Northwest Fl PA
- Primary Specialty
- Surgery
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 740 HARRISON AVE
- City
- Panama City
- State
- Florida
- ZIP Code
- 32401-2524
- Phone
- (850) 785-3232
Authorized Official
- Name
- DR. RICHARD BOULWARE WILSON, M.D.
- Title
- PRESIDENT
- Phone
- (850) 785-3232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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