| Organization Name: | DS PA SERVICES, INC. |
| NPI Number: | 1164761029 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA BADEN (OPERATIONAL DIRECTOR) |
| Mailing Address: | 16900 Front Beach Rd Panama City Beach |
| State: | FL US |
| Postal Code: | 324132345 |
| Phone Number: | 8502341898 |
| Fax Number: | 8502347670 |
| NPI Enumeration Date: | 02/12/2013 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS0589 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |