North Okaloosa Clinic Corp

NPI #1558930313 in Crestview, Florida

Provider Information

NPI Number: 1558930313
Entity Type: Organization
Organization Name: North Okaloosa Clinic Corp
Primary Specialty: General Practice
Enumeration Date: Jun 24, 2021
Last Updated: May 14, 2024

Practice Location

Address: 131 E REDSTONE AVE STE 105
City: Crestview
State: Florida
ZIP Code: 32539-5355
Phone: (850) 398-8725

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Pediatrics	208000000X
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Physician Assistant	363A00000X
General Practice	208D00000X	Primary

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Provider Name	Specialty	City
DR. Luis Angel Lopezrivera, M.D.	General Practice	Crestview	AI Deep Dive
DR. Pedro D Rivera Morillo, M.D.	General Practice	Middleburg	AI Deep Dive
Bogdan F Maliszewski, MD	General Practice	Mayo	AI Deep Dive

Organizations

Provider Name	Specialty	City
Marcene F. Kreifels, M.d., P.a.	General Practice	Crestview	AI Deep Dive
North Okaloosa Clinic Corp	General Practice	Crestview	AI Deep Dive

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