North Okaloosa Clinic Corp

NPI #1881363182 in Crestview, Florida

Provider Information

NPI Number: 1881363182
Entity Type: Organization
Organization Name: North Okaloosa Clinic Corp
Primary Specialty: Family Medicine
Enumeration Date: Sep 9, 2021
Last Updated: Mar 18, 2022

Practice Location

Address: 524 W JAMES LEE BLVD
City: Crestview
State: Florida
ZIP Code: 32536-5129
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	Primary

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