NORTH FLORIDA OBSTETRIC & GYN CENTER PA NPI 1790832210

NPI Information

NORTH FLORIDA OBSTETRIC & GYN CENTER PA is a specialist in Panama City, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTH FLORIDA OBSTETRIC & GYN CENTER PA NPI is 1790832210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr Bryce V Jackson.

The provider's business location address is:

1937 HARRISON AVE
PANAMA CITY, FL
ZIP 32405-543
Phone: (850) 784-6877
Fax: (850) 785-5346

The provider's authorized official is Bryce Vincent Jackson .
The authorized official title is President and has the following contact phone number (850) 784-6877.

The CLIA number assigned to this NPI record is 10D0270432 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/5/2007 and was last updated on 1/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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