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Contact Information

MAR-WALT DRIVE EMERGENCY PHYSICIANS, LLC
1000 MAR WALT DR
FORT WALTON BEACH, FL32547-6708
 Phone: 850-863-7610
 Fax: 800-305-3233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MAR WALT DRIVE EMERGENCY PHYSICIANS LLC · (Female)

NPI # 1043652498
Status Active
Credentials
Entity Individual
Enumeration date 07/26/2013
Last updated 07/26/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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