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Contact Information

BLUE WAVE EMERGENCY PHYSICIANS LLC
449 W. 23RD ST
PANAMA CITY, FL32405
 Phone: 469-401-2386
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BLUE WAVE EMERGENCY PHYSICIANS LLC · (Female)

NPI Number 1093064628
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2012
Last updated 07/27/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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