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
- City
- Port St Joe
- 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 Care — Primary Care |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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