| NPI | 1558930313 |
|---|---|
| Doing Business As | NORTH OKALOOSA PHYSICIANS GROUP |
| Doing Business As | NORTH OKALOOSA CLINIC CORP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-05-14 |