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Contact Information

ABC PEDIATRICS OF OKALOOSA
182 E. REDSTONE AVE
SUITE B
CRESTVIEW, FL32539
 Phone: 850-689-0900
 Fax: 850-689-0912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ABC PEDIATRICS OF OKALOOSA · (Female)

NPI Number 1326418336
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2015
Last updated 10/02/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME70831
  • FL Medicaid 250009400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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