Organization Name: | PERRY D. HIGHT, MD PA |
NPI Number: | 1124445978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PERRY D. HIGHT (PRESIDENT) |
Mailing Address: | 22623 Panama City Beach Pkwy Panama City Beach |
State: | FL US |
Postal Code: | 324135127 |
Phone Number: | 8505027987 |
Fax Number: | 8502492930 |
NPI Enumeration Date: | 03/18/2014 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | ME97187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |