Edward D. Gibson Jr Md Pa

LBN: Edward D. Gibson Jr Md Pa
Edward D. Gibson Jr Md Pa is an health care organization with primary practice located at 1514 W 23Rd St Ste A-4 , Panama City FL 32405-2905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Edward D. Gibson Jr Md Pa can be contacted via phone (850) 624-9634, or through Gibson, Edward D via phone (850) 624-9634.

Contact Information

Primary practice address
1514 W 23Rd St Ste A-4 Panama City FL 32405-2905
Phone: (850) 624-9634
Fax: (850) 769-2366
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Edward D Doctor of Medicine (MD)
Phone: (850) 624-9634

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME11148 Florida

Profile Details

NPI number 1245501378
LBN Legal business name Edward D. Gibson Jr Md Pa
DBA Doing business as
Authorized official Gibson, Edward D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2012
Last updated Jan 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245501378 NPPES
Florida Other 53278 BCBS OF FLORIDA
Florida MEDICAID 56431100 BCBS OF FLORIDA

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