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 |