Healthcare Provider Details

I. General information

NPI: 1871541094
Provider Name (Legal Business Name): GURPRIT SEKHON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 PANAMA CITY BEACH PARKWAY SUITE 200
PANAMA CITY BEACH FL
32407-2607
US

IV. Provider business mailing address

10800 PANAMA CITY BEACH PARKWAY SUITE 200
PANAMA CITY BEACH FL
32407-2607
US

V. Phone/Fax

Practice location:
  • Phone: 850-249-6363
  • Fax: 850-249-6680
Mailing address:
  • Phone: 850-249-6363
  • Fax: 850-249-6680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 83912
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: