Dr Bryce V Jackson
LBN: North Florida Obstetric & Gyn Center Pa
Dr Bryce V Jackson is an health care organization with primary practice located at 1937 Harrison Ave , Panama City FL 32405-4543. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
North Florida Obstetric & Gyn Center Pa can be contacted via phone (850) 784-6877, or through Jackson, Bryce Vincent via phone (850) 784-6877.
Contact Information
Primary practice address
1937 Harrison Ave
Panama City FL 32405-4543
Phone: (850) 784-6877
Fax: (850) 785-5346
Website:
Authorized official contact:
Name: Jackson, Bryce Vincent Doctor of Medicine (MD)
Phone: (850) 784-6877
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME48532 | Florida |
Profile Details
| NPI number | 1790832210 |
|---|---|
| LBN Legal business name | North Florida Obstetric & Gyn Center Pa |
| DBA Doing business as | Dr Bryce V Jackson |
| Authorized official | Jackson, Bryce Vincent Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Jan 15th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790832210 | NPPES |
| Florida | Other | 03638 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 043532500 | BLUE CROSS BLUE SHIELD |
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