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

The Pathology Group of Northwest Florida PLLC

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1679837116

The Pathology Group of Northwest Florida PLLC is an Anatomic Pathology & Clinical Pathology Physician in Crestview, Florida. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PLLC — Professional 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: (850) 689-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1679837116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official North Davis — President · (800) 288-8325
NPI enumeratedJune 29, 2012
Last updated in NPPESDecember 4, 2022
Certification dateDecember 4, 2022
Mailing addressPo Box 3093, Boca Raton, FL 33431-0993

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