North Okaloosa Clinic Corp

NPI #1659329852 in Crestview, Florida

Provider Information

NPI Number: 1659329852
Entity Type: Organization
Organization Name: North Okaloosa Clinic Corp
Primary Specialty: Internal Medicine
Enumeration Date: May 4, 2006
Last Updated: Sep 23, 2024

Practice Location

Address: 550 REDSTONE AVE W
Address 2: STE. 370
City: Crestview
State: Florida
ZIP Code: 32536-6428
Phone: (850) 682-2209

Authorized Official

Name: MS. KRISTINA MUSIC
Title: DIRECTOR,PROVIDER ENROLLMENT
Phone: (877) 892-9815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X
Hospitalist	208M00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
Orthopaedic Surgery	207X00000X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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