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NPI Code Detail

MEDICARE: DR. ANTHONY C SPEIGHTS M.D.

MEDICARE: DR. ANTHONY C SPEIGHTS M.D.
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
1174400000XSpecialistME93313FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275572489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY C SPEIGHTS M.D.
Provider Business Mailing Address
First Line : 597 W 11TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2330
Country : US
Telephone Number : 850-872-4455
Fax Number : 850-747-5475
Provider Business Practice Location Address
First Line : 597 W 11TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2330
Country : US
Telephone Number : 850-872-4455
Fax Number : 850-747-5475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 03/10/2016

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