North Okaloosa Physician Group- Surgery Specialist

LBN: North Okaloosa Clinic Corp
North Okaloosa Physician Group- Surgery Specialist is an health care organization with primary practice located at 550 Redstone Ave W Ste 410 , Crestview FL 32536-6457. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. North Okaloosa Clinic Corp can be contacted via phone (850) 306-2188, or through Music, Kristin via phone (615) 465-7377.

Contact Information

Primary practice address
550 Redstone Ave W Ste 410 Crestview FL 32536-6457
Fax: (850) 398-8470
Website:
Authorized official contact:
Name: Music, Kristin

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1023687993
LBN Legal business name North Okaloosa Clinic Corp
DBA Doing business as North Okaloosa Physician Group- Surgery Specialist
Authorized official Music, Kristin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2021
Last updated Sep 22nd, 2023 - about last year

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 1023687993 NPPES
Florida MEDICAID 273693415

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