Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Vascular of Panama City PLLC

Organization Vascular Surgery Physician · NPI 1699109181

Southern Vascular of Panama City PLLC provides Vascular Surgery Physician services 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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