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

Northwest Florida ENT PA

Organization Otolaryngology Physician · NPI 1821466491

Northwest Florida ENT PA is an Otolaryngology Physician in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
3
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

310 Racetrack Rd NW Ste 100
Fort Walton Beach, FL 32547-1553
Phone: (850) 889-4550
Fax: (850) 889-4549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME96773 (FL)
Sleep Medicine (Otolaryngology) Physician Taxonomy 207YS0012X · Licence ME96773 (FL)
Otolaryngic Allergy Physician Taxonomy 207YX0602X · Licence ME96773 (FL)

Record details

NPI number1821466491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Boole — President · (850) 889-4550
NPI enumeratedSeptember 12, 2015
Last updated in NPPESApril 13, 2019
Mailing address310 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1553

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