Organization · NPI-2
North Okaloosa Clinic Corp
Surgery · Crestview, FL
NPI number1972383354
StatusActive
Last updated in NPPESJul 11, 2024
Details
- NPI
- 1972383354
- Entity type
- Organization (NPI-2)
- Legal business name
- North Okaloosa Clinic Corp
- Organization subpart
- No
- Enumeration date
- Oct 3, 2023
- Certification date
- Jul 11, 2024
- Last updated
- Jul 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 208800000X | Urology | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 367A00000X | Advanced Practice Midwife | – | – |
Practice location
400 Redstone Ave WCrestview, FL 32536-8467
Phone 850-683-1555 · Fax 850-683-1556
Mailing address
Po Box 689022Franklin, TN 37068-9022
Phone 615-465-7269
Authorized official
Kristina Music
Director, Provider Enrollment
8778929815
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgery providers in Crestview, FL
- Marcello A Borzatta, MDNPI 1154368181
- Coastal Vascular And Interventional PLLCNPI 1639748577
- Crestview Surgery Center LPNPI 1619906468
- David A Herf, MDNPI 1447795976
- Dennis A Stewart MD PANPI 1508911843
- Dr. Chase Douglas Henderson, M.D.NPI 1467988048
- Dr. David Allen Herf, MDNPI 1699711911
- Marcello A Borzatta MD PANPI 1609090158
- North Okaloosa Clinic CorpNPI 1023687993
- Okaloosa Cardiology P ANPI 1144270240