Fort Walton Beach Heart & Lung Surgery

NPI #1164443172 in Shalimar, Florida

Provider Information

NPI Number
1164443172
Entity Type
Organization
Organization Name
Fort Walton Beach Heart & Lung Surgery
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Jul 22, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1283 EGLIN PKWY
Address 2
SUITE B
State
Florida
ZIP Code
32579-1256
Phone
(850) 651-9300

Authorized Official

Name
KIM RILEY
Title
BILLING COORDINATOR
Phone
(850) 651-9300

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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