4Md2 Physician Services Of Fort Walton Beach Llc
LBN: 4Md2 Physician Services Of Fort Walton Beach Llc
4Md2 Physician Services Of Fort Walton Beach Llc is an health care organization with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty.
4Md2 Physician Services Of Fort Walton Beach Llc can be contacted via phone (850) 863-7607, or through Hooper, Guy Duwane via phone (205) 437-6098.
Contact Information
Primary practice address
1000 Mar Walt Dr
Fort Walton Beach FL 32547-6708
Phone: (850) 863-7607
Fax: (205) 437-5998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | Florida |
Profile Details
| NPI number | 1568420735 |
|---|---|
| LBN Legal business name | 4Md2 Physician Services Of Fort Walton Beach Llc |
| DBA Doing business as | |
| Authorized official | Hooper, Guy Duwane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 20th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568420735 | NPPES |
| Florida | Other | DE2947 | RRMC GROUP NUMBER |
| Florida | Other | F938 | RRMC GROUP NUMBER |
| Florida | Other | 2622096 | RRMC GROUP NUMBER |
| Florida | Other | 7800781 | RRMC GROUP NUMBER |
| Florida | Other | 97859 | RRMC GROUP NUMBER |
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