Ft. Walton Beach General Surgery Llc

NPI 1194769950 - Surgery - 208600000X

NPI Details
NPI 1194769950
Enumeration Date 06/15/2006
Last Updated 09/11/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICKEY MICKEY
Position VP
Phone (850) 864-3232
Fax
Practice Location
1775 LEWIS TURNER BLVD
#102
FT WALTON BEACH FL, 32547-1221, US
Phone (850) 864-3232
Fax
Business Location
1775 LEWIS TURNER BLVD
#102
FT WALTON BEACH FL, 32547-1221, US
Phone (850) 864-3232
Fax
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Ft. Walton Beach General Surgery Llc NPI is 1194769950, taxonomy code is 208600000X Ft. Walton Beach General Surgery Llc physically located at 1775 Lewis Turner Blvd, Ft Walton Beach FL, 32547-1221. NPI Number 1033115704 has the healthcare provider type.

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1194769950 NPI number is provided on an as is basis without warranty of any kind. 1194769950 is maintained by the National Plan & Provider Enumeration System. The contents of Ft. Walton Beach General Surgery Llc are for informational purposes only.