Niceville Primary Care Bluewater

NPI 1457446387 - Family Medicine - 207Q00000X

NPI Details
NPI 1457446387
Enumeration Date 10/04/2006
Last Updated 09/28/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICKEY MICKEY
Position VP
Phone (850) 897-3678
Fax (850) 897-3708
Practice Location
4400 E HIGHWAY 20
SUITE 203
NICEVILLE FL, 32578-8779, US
Phone (850) 897-3678
Fax (850) 897-3708
Business Location
4400 E HIGHWAY 20
SUITE 203
NICEVILLE FL, 32578-8779, US
Phone (850) 897-3678
Fax (850) 897-3708
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Niceville Primary Care Bluewater NPI is 1457446387, taxonomy code is 207Q00000X Niceville Primary Care Bluewater physically located at 4400 E Highway 20, Niceville FL, 32578-8779. NPI Number 1033115704 has the healthcare provider type.

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1457446387 NPI number is provided on an as is basis without warranty of any kind. 1457446387 is maintained by the National Plan & Provider Enumeration System. The contents of Niceville Primary Care Bluewater are for informational purposes only.