Basil D. Fossum, MD PA
Basil D. Fossum, MD PA is an Urology Physician in Fort Walton Beach, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
914 Mar Walt Dr Ste BFort Walton Beach, FL 32547-6706
Phone: (850) 226-6572
Fax: (850) 862-8564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X |
|---|
Record details
| NPI number | 1154911527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Basil Fossum Md Pa — Owner · (850) 862-2555 |
| Other names | Basil D. Fossum, M.D.; Basil D. Fossum, M.D. |
| NPI enumerated | January 20, 2021 |
| Last updated in NPPES | May 22, 2025 |
| Certification date | March 31, 2021 |
| Mailing address | 914 Mar Walt Dr Ste B, Fort Walton Beach, FL 32547-6706 |
Other providers in Fort Walton Beach
-
21st Century Oncology LLC
914B Mar Walt Dr, Fort Walton Beach, FL 32547-6706 · (850) 226-6572
-
Basil D. Fossum, MD, FACS
914 Mar Walt Dr Ste B, Fort Walton Beach, FL 32547-6706 · (850) 266-5722
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Basil Fossum MD PA
914B Mar Walt Dr, Fort Walton Beach, FL 32547-6706 · (850) 862-2555
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John R Burns, MD
914B Mar Walt Dr, Fort Walton Beach, FL 32547-6706 · (850) 226-6572
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Emerald Coast Urology
909 Mar Walt Dr Ste 1011, Fort Walton Beach, FL 32547-6635 · (850) 863-3377