Northwest Florida Healthcare, Inc.

NPI #1134422470 in Vernon, Florida

Provider Information

NPI Number: 1134422470
Entity Type: Organization
Organization Name: Northwest Florida Healthcare, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Dec 8, 2010
Last Updated: Nov 25, 2024

Practice Location

Address: 3250 MAIN ST
City: Vernon
State: Florida
ZIP Code: 32462
Phone: (850) 535-2096

Authorized Official

Name: STEVEN LISENBY
Title: CHIEF FINANCIAL OFFICER
Phone: (850) 415-8107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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