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

Okaloosa Emergency Group LLC

Organization Emergency Medicine Physician · NPI 1336126978

Okaloosa Emergency Group LLC is an Emergency Medicine Physician in Crestview, Florida. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
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: (800) 893-9698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1336126978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Contracting · (800) 893-9698
NPI enumeratedDecember 26, 2005
Last updated in NPPESFebruary 16, 2016
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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