MEDICARE: PANAMA CITY PSYCHIATRIC CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1548578693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANAMA CITY PSYCHIATRIC CARE

Provider Business Mailing Address
First Line	:	217 FOREST PARK CIR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4916
Country	:	US
Telephone Number	:	850-348-6564
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 FOREST PARK CIR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4916
Country	:	US
Telephone Number	:	850-348-6564
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GARY D GORMAN
Credential	:	M.D.
Telephone Number	:	850-348-6564

Provider Enumeration Date	:	09/22/2010
Last Update Date	:	06/11/2026

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Directions to “PANAMA CITY PSYCHIATRIC CARE ” Practice Location

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