| Michael G Foley Md Pa | |
|
524 James Lee Blvd W Crestview FL 32536 | |
| (850) 682-6143 | |
| (850) 682-0227 |
| Full Name | Michael G Foley Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 524 James Lee Blvd W, Crestview, Florida |
| Authorized Official Name and Position | Michael G Foley (OWNER) |
| Authorized Official Contact | 8506826143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Foley Md Pa 524 James Lee Blvd W Crestview FL 32536 Ph: (850) 682-6143 | Michael G Foley Md Pa 524 James Lee Blvd W Crestview FL 32536 Ph: (850) 682-6143 |
| NPI Number | 1487821526 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 12/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487821526 | NPI | - | NPPES |
| 059459800 | Medicaid | FL | |
| 46112 | Other | FL | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0031078 (Florida) | Primary |
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