| Northwest Florida Healthcare, Inc. | |
|
1376 Brickyard Rd Chipley FL 32428-6391 | |
| (850) 638-0552 | |
| Not Available |
| Full Name | Northwest Florida Healthcare, Inc. |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1376 Brickyard Rd, Chipley, Florida |
| Authorized Official Name and Position | Steven Lisenby (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8504158107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Florida Healthcare, Inc. 1360 Brickyard Rd Chipley FL 32428-6303 Ph: (850) 638-1610 | Northwest Florida Healthcare, Inc. 1376 Brickyard Rd Chipley FL 32428-6391 Ph: (850) 638-0552 |
| NPI Number | 1972311785 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972311785 | NPI | - | NPPES |
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