VICKIE N HARRELL MD PA
Osteopathic Medicine at 6 St, Panama City, FL

License number
Florida ME70385
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. VICKIE N HARRELL M.D.
Title: PRESIDENT
Phone: (850) 913-0018
Address
Address 2
801 E 6Th St SUITE 204, Panama City, FL 32401
PO Box 1330, Lynn Haven, FL 32444
National Provider ID: 1023101334
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VICKIE N. HARRELL, M.D., PA

801 E 6 St SUITE 204, Panama City, FL 32401

Industry:
Nonclassifiable Establishments, Medical Doctor's Office
Registration:
Jul 8, 1998
State ID:
P98000060466
Business type:
Florida Profit Corporation
Managers:
Vickie N Harrell (Director), 801 E 6 St SUITE 204, Panama City, FL 32401 (Physical),Roy L Harrell (Manager), 801 E 6 St STE 204, Panama City, FL 32401 (Physical)
Agent:
Vickie Harrell,801 E 6 St SUITE 204, Panama City, FL 32401 (Physical)
EIN:
593517414

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