| Blanca Peak Inpatient Services Llc | |
|
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 | |
| (973) 251-1132 | |
| Not Available |
| Full Name | Blanca Peak Inpatient Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Kathleen Kondas (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blanca Peak Inpatient Services Llc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (973) 251-1132 | Blanca Peak Inpatient Services Llc 1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 Ph: (973) 251-1132 |
| NPI Number | 1881003887 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881003887 | NPI | - | NPPES |
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