Fort Walton Beach Heart & Lung Surgery
Fort Walton Beach Heart & Lung Surgery is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Shalimar, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
1283 Eglin Pkwy Ste BShalimar, FL 32579-1256
Phone: (850) 651-9300
Fax: (850) 651-3345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) | Taxonomy 208G00000X · Licence ME 87486 (FL) |
|---|
Record details
| NPI number | 1164443172 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kim Riley — Billing Coordinator · (850) 651-9300 |
| NPI enumerated | July 22, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 1150, Shalimar, FL 32579-5150 |