Fort Walton Beach Heart & Lung Surgery

NPI 1164443172 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1164443172
Enumeration Date 07/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KIM KIM
Position BILLING COORDINATOR
Phone (850) 651-9300
Fax (850) 651-3345
Practice Location
1283 EGLIN PKWY
SUITE B
SHALIMAR FL, 32579-1256, US
Phone (850) 651-9300
Fax (850) 651-3345
Business Location
PO BOX 1150
SHALIMAR FL, 32579-5150, US
Phone (850) 651-9300
Fax (850) 651-3345
Toxanomy
Taxonomy Code 208G00000X
License State Florida
License Number ME 87486
Remove 1164443172 NPI Number
 

According to our database, Fort Walton Beach Heart & Lung Surgery NPI is 1164443172, taxonomy code is 208G00000X and license number is ME 87486, license state is located at Florida. Fort Walton Beach Heart & Lung Surgery physically located at 1283 Eglin Pkwy, Shalimar FL, 32579-1256. NPI Number 1033115704 has the healthcare provider type.

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1164443172 NPI number is provided on an as is basis without warranty of any kind. 1164443172 is maintained by the National Plan & Provider Enumeration System. The contents of Fort Walton Beach Heart & Lung Surgery are for informational purposes only.