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

Southern Vascular of Panama City PLLC

Organization Vascular Surgery Physician · NPI 1699109181

Southern Vascular of Panama City PLLC is a Vascular Surgery Physician in Panama City, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1399 Jenks Ave # 12
Panama City, FL 32401-2442
Phone: (850) 532-6303
Fax: (850) 307-5402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X (FL)

Record details

NPI number1699109181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashish Gupta — Physician/Owner · (850) 896-1696
NPI enumeratedSeptember 3, 2013
Last updated in NPPESSeptember 16, 2019
Mailing address1399 Jenks Ave # 12, Panama City, FL 32401-2442

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