Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME 39766 | FL |
N | 208200000X | Surgeon | ME 39766 | FL |
N | 208600000X | Surgeon | ME 39766 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME 37966 | FL |
NPI | 1295769040 |
---|---|
Provider Name | Dr. Paul E Garland |
First Address | Panama City, FL 32405-4412 |
Second Address | Panama City, FL 32405-4412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 09/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
180044931 | RR MEDICARE (01) | FL |
264240900 | (05) | FL |
59303 | BLUE CROSS & BLUE SHEILD (01) | FL |
B22874 | (02) | FL |