Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Southern Orthopedic Spine Surgery, LLC

Organization Orthopaedic Surgery Physician · NPI 1689179053

Southern Orthopedic Spine Surgery, LLC is an Orthopaedic Surgery Physician in Panama City, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1399 Jenks Ave Bldg G
Panama City, FL 32401-2442
Phone: (850) 771-2001
Fax: (850) 215-4229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1689179053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Gaiser — Owner · (850) 771-2001
NPI enumeratedMarch 28, 2018
Last updated in NPPESNovember 6, 2018
Mailing address1399 Jenks Ave Bldg G, Panama City, FL 32401-2442

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