GULF COAST MEDICAL AND GERIATRIC CLINIC INC
Osteopathic Medicine at State Ave, Panama City, FL

License number
Florida ME83788
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: TAHIR H KHAN MD
Title: DIRECTOR
Phone: (850) 522-0182
Address
Address 2
2202 State Ave STE 103, Panama City, FL 32405
PO Box 1317, Lynn Haven, FL 32444
National Provider ID: 1831262229
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GULF COAST MEDICAL AND GERIATRIC CLINIC INC at bizstanding.com

GULF COAST MEDICAL AND GERIATRIC CLINIC, INC

Panama City, FL  -  Lynn Haven, FL

Industry:
Health/Allied Services
Registration:
Nov 14, 2006
Addresses:
237 E Baldwin Rd SUITE 102, Panama City, FL 32405 (Physical)
Lynn Haven, FL 32444 (Mailing)
2202 State Ave, Panama City, FL 32405
PO Box 1317, Lynn Haven, FL 32444
State ID:
P06000143107
Business type:
Florida Profit Corporation
Directors:
Liaqat Hayat (Director), 237 E Baldwin Rd, Panama City, FL 32405 (Physical),Tahir H. Khan Director, inactive
Agent:
Hayat, Liaqat,108 Cottonwood Cir, Lynn Haven, FL 32444 (Physical)
EIN:
56-2622702

Osteopathic Medicine licenses in Florida










Other Doctors licenses in Florida