North Okaloosa Clinic Corp

NPI #1780365684 in Crestview, Florida

Provider Information

NPI Number
1780365684
Entity Type
Organization
Organization Name
North Okaloosa Clinic Corp
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Jul 25, 2023
Last Updated
Jul 25, 2023

Practice Location

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

Authorized Official

Name
JENNIFER L JACKSON
Title
SR DIRECTOR PROVIDER ENROLLMENT
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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