Basil Fossum MD PA
Basil Fossum MD PA is an Urology Physician in Fort Walton Beach, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
914B Mar Walt DrFort Walton Beach, FL 32547-6706
Phone: (850) 862-2555
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 | 1184594962 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Lord — Office Manager · (850) 862-2555 |
| NPI enumerated | November 7, 2025 |
| Last updated in NPPES | April 20, 2026 |
| Certification date | April 20, 2026 |
| Mailing address | 914b Mar Walt Dr, Fort Walton Beach, FL 32547-6706 |
Other providers in Fort Walton Beach
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21st Century Oncology LLC
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Basil D. Fossum, MD PA
914 Mar Walt Dr Ste B, Fort Walton Beach, FL 32547-6706 · (850) 226-6572
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Basil D. Fossum, MD, FACS
914 Mar Walt Dr Ste B, Fort Walton Beach, FL 32547-6706 · (850) 266-5722
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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
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Genesiscare USA of Florida LLC
909 Mar Walt Dr Ste 1011, Fort Walton Beach, FL 32547-6635 · (850) 683-3377
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Genesiscare USA of Florida LLC
914 Mar Walt Dr Ste B, Fort Walton Beach, FL 32547-6706 · (850) 226-6572