PHILLIP H NUNNERY MD PA
Medical Practice at Jenks Ave, Panama City, FL

License number
Florida ME36299
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: MRS. BRENDA B NUNNERY
Title: OFFICE MANAGER
Phone: (850) 763-5959
Address
Address
1936 Jenks Ave, Panama City, FL 32405
National Provider ID: 1942561204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILLIP H. NUNNERY, M.D. PA

1936 Jenks Ave SUITE A, Panama City, FL 32405

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
Reinstatement
Registration:
Aug 23, 1988
Inactive since:
May 3, 1996
Phone:
(850) 763-5959 (Phone)
State ID:
M95238
Business type:
Florida Profit Corporation
President, Secretarys:
Nunnery, Phillip H., M.d, 1936 Jenks Ave, Panama City, FL 32405 (Physical),Phillip H. Nunnery (President, Secretary)
EIN:
59-2908793

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