Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis OBGYN PA

Organization Obstetrics & Gynecology Physician · NPI 1407083884

Genesis OBGYN PA is an Obstetrics & Gynecology Physician in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1025 Beal Pkwy NW
Fort Walton Beach, FL 32547-1446
Phone: (850) 362-6435
Fax: (850) 362-6777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME98995 (FL)

Record details

NPI number1407083884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Seaton — Owner · (850) 362-6435
NPI enumeratedJune 12, 2009
Last updated in NPPESSeptember 13, 2011
Mailing address1025 Beal Pkwy Nw, Fort Walton Beach, FL 32547-1446

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