North Okaloosa Clinic Corporation
North Okaloosa Clinic Corporation is a Family Medicine Physician in Brentwood, Tennessee. Licensed in Florida. Registered with an NPI since 2005.
- Licensed in
- FL
- In the registry since
- 2005
Practice location Address checks out
330 Franklin RdBrentwood, TN 37027-3280
Phone: (615) 309-3300
Fax: (615) 309-3338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (FL) |
|---|
Record details
| NPI number | 1235132879 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Jackson — Senior Director Provider Enrollment · (615) 465-3334 |
| NPI enumerated | May 27, 2005 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | March 18, 2022 |
| Mailing address | 330 Franklin Rd, Brentwood, TN 37027-3280 |
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