Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME66118 | FL |
NPI | 1023027257 |
---|---|
Provider Name | Norman Reed Finney |
First Address | Panama City, FL 32401 |
Second Address | Panama City, FL 32401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 06/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25247Z | BCBS PROVIDER NUMBER (01) | FL |
25247Z | MEDICARE PROVIDER NUMBER (01) | FL |
77694 | MEDICARE/BCBS GROUP NUMBE (01) | |
F59536 | (02) |