| Fisher's Playhouse | |
|
1927 Patrician Way Fort Walton Beach FL 32547-1036 | |
| (740) 444-3981 | |
| Not Available |
| Full Name | Fisher's Playhouse |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1927 Patrician Way, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Dempsey Fisher (OWNER) |
| Authorized Official Contact | 8509728193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fisher's Playhouse 1927 Patrician Way Fort Walton Beach FL 32547-1036 Ph: (850) 972-8193 | Fisher's Playhouse 1927 Patrician Way Fort Walton Beach FL 32547-1036 Ph: (740) 444-3981 |
| NPI Number | 1174378541 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174378541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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