Lookup NPI Numbers from the NPI Registry
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1558930313 |
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| LBN Legal business name | NORTH OKALOOSA CLINIC CORP | ||||
| Authorized official | JENNIFER JACKSON - (SR DIR PROV ENROLLMENT & ONBOARDING) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 06/24/2021 | ||||
| Last updated | 05/14/2024 - About 2 years ago | ||||
| Identifiers |
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NORTH OKALOOSA CLINIC CORP
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NORTH OKALOOSA CLINIC CORP