Abc Pediatrics Of Okaloosa

LBN: Abc Pediatrics Of Okaloosa
Abc Pediatrics Of Okaloosa is an health care organization with primary practice located at 182 E. Redstone Ave Suite B, Crestview FL 32539. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Abc Pediatrics Of Okaloosa can be contacted via phone (850) 689-0900, or through Mitchell, Denise via phone (850) 689-0900.

Contact Information

Primary practice address
182 E. Redstone Ave Suite B Crestview FL 32539
Phone: (850) 689-0900
Fax: (850) 689-0912
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Denise
Phone: (850) 689-0900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME70831 Florida

Profile Details

NPI number 1326418336
LBN Legal business name Abc Pediatrics Of Okaloosa
DBA Doing business as
Authorized official Mitchell, Denise
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2015
Last updated Oct 2nd, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326418336 NPPES
Florida MEDICAID 250009400

Popular Providers