Jackie W. Westfall DO LLC
Jackie W. Westfall DO LLC is an Exclusive Provider Organization in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
322 Racetrack Rd NEFort Walton Beach, FL 32547-2546
Phone: (850) 682-5332
Fax: (850) 683-5333
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
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence OS5855 (FL) |
|---|
Record details
| NPI number | 1740575158 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackie Westfall — President · (850) 682-5332 |
| NPI enumerated | June 14, 2011 |
| Last updated in NPPES | June 14, 2011 |
| Mailing address | 322 Racetrack Rd Ne, Fort Walton Beach, FL 32547-2546 |