| Bridgeway Center Inc | |
|
137 Hospital Drive Fort Walton Beach FL 32548 | |
| (850) 833-7400 | |
| (850) 833-7434 |
| Full Name | Bridgeway Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 137 Hospital Drive, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Bonnie R Barlow (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8508333975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeway Center Inc 137 Hospital Drive Fort Walton Beach FL 32548 Ph: (850) 833-7400 | Bridgeway Center Inc 137 Hospital Drive Fort Walton Beach FL 32548 Ph: (850) 833-7400 |
| NPI Number | 1912119231 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912119231 | NPI | - | NPPES |
| Z134K | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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