| South Walton Medical | |
|
10065 Us Highway 98 W Ste B 101 Miramar Beach FL 32550-4924 | |
| (850) 837-8005 | |
| (850) 837-4352 |
| Full Name | South Walton Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 10065 Us Highway 98 W, Miramar Beach, Florida |
| Authorized Official Name and Position | Perry Monty Reeves (CEO) |
| Authorized Official Contact | 8635130349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Walton Medical 5305 Oakway Dr Lakeland FL 33805-8584 Ph: (863) 513-0349 | South Walton Medical 10065 Us Highway 98 W Ste B 101 Miramar Beach FL 32550-4924 Ph: (850) 837-8005 |
| NPI Number | 1871734541 |
|---|---|
| Provider Enumeration Date | 03/10/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871734541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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