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
Fax: (205) 437-5998
Website:
Authorized official contact:
Name: Hooper, Guy Duwane

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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