Southern Breeze Healthcare
Southern Breeze Healthcare is a Family Medicine Physician in Niceville, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4556 E Hwy 20 Ste 105Niceville, FL 32578
Phone: (910) 988-1326
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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 |
|---|
Record details
| NPI number | 1376028563 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Bullard — Physician Assistant · (910) 988-1326 |
| NPI enumerated | October 3, 2018 |
| Last updated in NPPES | January 5, 2021 |
| Certification date | January 5, 2021 |
| Mailing address | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 |
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