Okaloosa Emergency Group LLC

NPI #1336126978 in Crestview, Florida

Provider Information

NPI Number: 1336126978
Entity Type: Organization
Organization Name: Okaloosa Emergency Group LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 26, 2005
Last Updated: Feb 16, 2016

Practice Location

Address: 151 E REDSTONE AVE
City: Crestview
State: Florida
ZIP Code: 32539-5352
Phone: (800) 893-9698

Authorized Official

Name: LISHA C FALK
Title: VP CONTRACTING
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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