SOUTHERN VASCULAR OF PANAMA CITY PLLC is a vascular surgery surgery in Panama City, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SOUTHERN VASCULAR OF PANAMA CITY PLLC NPI is 1699109181. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1399 JENKS AVE # 12
PANAMA CITY, FL
ZIP 32401-442
Phone: (850) 532-6303
Fax: (850) 307-5402
The provider's authorized official is Ashish K Gupta .
The authorized official title is Physician/owner and has the following contact phone number (850) 896-1696.
The CLIA number assigned to this NPI record is 10D2202405 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/16/2019.