| Bass Lake Inpatient Services, Llc | |
|
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 | |
| (850) 862-0213 | |
| (800) 305-3233 |
| Full Name | Bass Lake Inpatient Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Gregory J Byrne (OWNER & PRESIDENT , INPATIENT SVCS) |
| Authorized Official Contact | 8004447009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bass Lake Inpatient Services, Llc Po Box 37944 Philadelphia PA 19101-0544 Ph: (800) 444-7009 | Bass Lake Inpatient Services, Llc 1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 Ph: (850) 862-0213 |
| NPI Number | 1467886267 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467886267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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