Northwest Florida Ent Pa

LBN: Northwest Florida Ent Pa
Northwest Florida Ent Pa is an health care organization with primary practice located at 310 Racetrack Rd Nw Ste 100 , Fort Walton Beach FL 32547-1553. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty. Northwest Florida Ent Pa can be contacted via phone (850) 889-4550, or through Boole, Jason Redwood via phone (850) 889-4550.

Contact Information

Primary practice address
310 Racetrack Rd Nw Ste 100 Fort Walton Beach FL 32547-1553
Phone: (850) 889-4550
Fax: (850) 889-4549
Website:
Map and Directions
Authorized official contact:
Name: Boole, Jason Redwood
Phone: (850) 889-4550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME96773 Florida
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X ME96773 Florida
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X ME96773 Florida

Profile Details

NPI number 1821466491
LBN Legal business name Northwest Florida Ent Pa
DBA Doing business as
Authorized official Boole, Jason Redwood
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2015
Last updated Apr 13th, 2019 - about 5 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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