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GARRY G BANKS MD PA

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588631493

Individual Registrant:
 GARRY G BANKS MD PA
Gender: M
Sole Proprietor

Location and contact information for practice:
552 TWIN CITIES BLVD SUITE A NICEVILLE, FL 32578 US
Tel: 850-678-7676  Fax: 850-678-8240

Contact information for business:
552 TWIN CITIES BLVD SUITE A NICEVILLE, FL 32578 US
Tel: 850-678-7676  Fax: 850-678-8240

Registration Information:
NPI: 1588631493
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME0062947

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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