North Okaloosa Clinic Corp

NPI #1144899014 in Crestview, Florida

Provider Information

NPI Number
1144899014
Entity Type
Organization
Organization Name
North Okaloosa Clinic Corp
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Jun 23, 2021
Last Updated
Mar 18, 2022

Practice Location

Address
550 REDSTONE AVE W STE 490
State
Florida
ZIP Code
32536-6457
Phone
(850) 689-8321

Authorized Official

Name
JENNIFER L JACKSON
Title
SR DIR PROV ENROLLMENT & ONBOARDING
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - MedicalMedical
Physician Assistant - SurgicalSurgical
Internal Medicine - Pulmonary DiseasePulmonary Disease

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