The Pathology Group of Northwest Florida Pllc

NPI #1679837116 in Crestview, Florida

Provider Information

NPI Number: 1679837116
Entity Type: Organization
Organization Name: The Pathology Group of Northwest Florida Pllc
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Enumeration Date: Jun 29, 2012
Last Updated: Dec 4, 2022

Practice Location

Address: 151 E REDSTONE AVE
City: Crestview
State: Florida
ZIP Code: 32539-5352
Phone: (850) 689-8100

Authorized Official

Name: DR. NORTH DAVIS, MD
Title: PRESIDENT
Phone: (800) 288-8325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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