North Okaloosa Clinic Corp
North Okaloosa Clinic Corp is a Pulmonary Disease Physician in Crestview, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 4
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
550 Redstone Ave W Ste 490Crestview, FL 32536-6457
Phone: (850) 689-8321
Fax: (850) 689-8322
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
| Pulmonary Disease Physician (primary) | Taxonomy 207RP1001X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Medical Physician Assistant | Taxonomy 363AM0700X |
| Surgical Physician Assistant | Taxonomy 363AS0400X |
Record details
| NPI number | 1144899014 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334 |
| Other names | North Okaloosa Clinic Corp; North Okaloosa Physician Group Pulmono; North Okaloosa Physician Group Pulmono |
| NPI enumerated | June 23, 2021 |
| Last updated in NPPES | March 18, 2022 |
| Certification date | March 18, 2022 |
| Mailing address | Po Box 689022, Franklin, TN 37068-9022 |