Southern Breeze Healthcare

LBN: Southern Breeze Healthcare
Southern Breeze Healthcare is an health care organization with primary practice located at 4556 E Hwy 20 Suite 105, Niceville FL 32578. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southern Breeze Healthcare can be contacted via phone (910) 988-1326, or through Bullard, Gary via phone (910) 988-1326.

Contact Information

Primary practice address
4556 E Hwy 20 Suite 105 Niceville FL 32578
Phone: (910) 988-1326
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bullard, Gary Physician Assistant (PA)
Phone: (910) 988-1326

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1376028563
LBN Legal business name Southern Breeze Healthcare
DBA Doing business as
Authorized official Bullard, Gary Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2018
Last updated Jan 5th, 2021 - about 4 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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