Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 28567 | FL |
NPI | 1649487661 |
---|---|
Provider Name | Dr. Gilbert R Panzer |
First Address | Ocean Ridge, FL 33435-3315 |
Second Address | Ocean Ridge, FL 33435-3315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BP9195036 | DEA NUMBER (01) | FL |
D55890 | (02) | FL |