Life Management of NW Fl, Inc.

NPI #1316977515 in Port St Joe, Florida

Provider Information

NPI Number
1316977515
Entity Type
Organization
Organization Name
Life Management of NW Fl, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LIFE MANAGEMENT CENTER OF NORTHWEST FLORIDA, INC.
Primary Specialty
Psychiatry & Neurology - Psychiatry
Enumeration Date
Jul 4, 2006
Last Updated
Apr 24, 2025

Practice Location

Address
311 WILLIAMS AVE
State
Florida
ZIP Code
32456-1845
Phone
(850) 522-4480

Authorized Official

Name
EDWIN AILES
Title
CEO/PRESIDENT
Phone
(850) 522-4485

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Clinic/Center - Primary CarePrimary Care
Psychiatry & Neurology - PsychiatryPsychiatry

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