National Provider Identifier Database

ABC PEDIATRICS OF OKALOOSA
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


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
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for ABC PEDIATRICS OF OKALOOSA

NPI Number 1326418336
Legal business name
LBN
ABC PEDIATRICS OF OKALOOSA
Authorized official DENISE MITCHELL - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/02/2015
Last updated 10/02/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME70831
  • FL Medicaid: 250009400

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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