MEDICARE: DR. GILBERT R PANZER 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
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	28567	FL

General Provider Information

NPI Number	:	1649487661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GILBERT R PANZER M.D.

Provider Business Mailing Address
First Line	:	6810 N OCEAN BLVD
Second Line	:
City	:	OCEAN RIDGE
State	:	FL
Zip	:	33435-3315
Country	:	US
Telephone Number	:	561-736-2051
Fax Number	:	561-736-2948

Provider Business Practice Location Address
First Line	:	6810 N OCEAN BLVD
Second Line	:
City	:	OCEAN RIDGE
State	:	FL
Zip	:	33435-3315
Country	:	US
Telephone Number	:	561-736-2051
Fax Number	:	561-736-2948

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	03/07/2023

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