Healthcare Provider Details

I. General information

NPI: 1356093207
Provider Name (Legal Business Name): DOCSEE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2022
Last Update Date: 01/21/2022
Certification Date: 01/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 HIGHWAY 77 STE A
PANAMA CITY FL
32405-5011
US

IV. Provider business mailing address

3430 HIGHWAY 77 STE A
PANAMA CITY FL
32405-5011
US

V. Phone/Fax

Practice location:
  • Phone: 850-373-9959
  • Fax:
Mailing address:
  • Phone: 850-373-9959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HEATH A EVANS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MSHA, MBA
Phone: 850-373-9959