Blanca Peak Inpatient Services LLC
Blanca Peak Inpatient Services LLC is an Internal Medicine Physician in Fort Walton Beach, Florida. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 Mar Walt DrFort Walton Beach, FL 32547-6708
Phone: (973) 251-1132
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1881003887 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathleen Kondas — Officer · (973) 251-1132 |
| NPI enumerated | August 5, 2014 |
| Last updated in NPPES | December 9, 2019 |
| Certification date | December 9, 2019 |
| Mailing address | 13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331 |
Other providers in Fort Walton Beach
-
Christopher Dale Abrasley, MD
417 Racetrack Rd NW, Fort Walton Beach, FL 32547-4612 · (850) 601-8177
-
Bass Lake Inpatient Services, LLC
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 · (850) 862-0213
-
Dr. Vergil K Brown III, MD
1005 Mar Walt Dr Internal Medicine, Fort Walton Beach, FL 32547-6707 · (850) 863-8209
-
Liane Cali
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 · (850) 862-1111
-
Polla Sue Cunningham, MD
1005 Mar Walt Drive Administration, Fort Walton Beach, FL 32547-6796 · (850) 863-8100
-
Eddie A. Negron, MD, PA
921 Mar Walt Dr, Fort Walton Beach, FL 32547-6759 · (850) 864-1771