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

North Okaloosa Clinic Corp

Organization Radiology Clinic/Center · NPI 1780365684

North Okaloosa Clinic Corp is a Radiology Clinic/Center in Crestview, Florida. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

151 E Redstone Ave
Crestview, FL 32539-5352
Phone: (850) 689-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X

Record details

NPI number1780365684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Director Provider Enrollment · (615) 465-3334
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 17, 2023
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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