Individual provider · Type 1 NPI
Jay Sourbeer, MD
Military Health Care Provider · Panama City, FL
NPI number
1699744565
Active
Practice location
321 Bullfinch Road, Navy Experimental Diving Unit
Panama City, FL 32407-7015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | ME58815 (FL) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1699744565
Jay Sourbeer, MD's National Provider Identifier is 1699744565, issued on Mar 14, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Panama City, FL. The record was last updated on Apr 3, 2017.