Diana Health Fl P.a. | |
1046 Mar Walt Dr Suite 200 Fort Walton Beach FL 32547 | |
(850) 243-2229 | |
Not Available |
Full Name | Diana Health Fl P.a. |
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Speciality | Obstetrics & Gynecology |
Location | 1046 Mar Walt Dr, Fort Walton Beach, Florida |
Authorized Official Name and Position | Caitlin Eisenbarth (PAYER RELATIONS) |
Authorized Official Contact | 8502432229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Diana Health Fl P.a. 178 Columbus Ave #237190 Smb#33783 New York NY 10023 Ph: () - | Diana Health Fl P.a. 1046 Mar Walt Dr Suite 200 Fort Walton Beach FL 32547 Ph: (850) 243-2229 |
NPI Number | 1194591966 |
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Provider Enumeration Date | 12/01/2023 |
Last Update Date | 08/20/2025 |
Certification Date | 08/20/2025 |
Medicare PECOS PAC ID | 5092253245 |
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Medicare Enrollment ID | O20240819002808 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194591966 | NPI | - | NPPES |
Provider Name | Adrienne P George |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1679505630 PECOS PAC ID: 6103873922 Enrollment ID: I20050405000070 |
Provider Name | Michael H Hennessey |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457315277 PECOS PAC ID: 6800826652 Enrollment ID: I20050822000320 |
Provider Name | Shawn R Ramsey |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265650766 PECOS PAC ID: 1759461577 Enrollment ID: I20080107000556 |
Provider Name | Chukwuma Okoroji |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356335178 PECOS PAC ID: 1355309980 Enrollment ID: I20090922000717 |
Provider Name | Stacey A Cooper |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1588624787 PECOS PAC ID: 3072518802 Enrollment ID: I20130925000743 |
Provider Name | Miles Eugene Byrd |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1366605073 PECOS PAC ID: 7618250630 Enrollment ID: I20170606001794 |
Provider Name | Michal Wright |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1215412747 PECOS PAC ID: 7719216746 Enrollment ID: I20190917000401 |
Provider Name | Pamala Ann Clayton |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1205433091 PECOS PAC ID: 0345650628 Enrollment ID: I20201028001660 |
Provider Name | Tonya Renee Hawkes |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1184355901 PECOS PAC ID: 9234512674 Enrollment ID: I20220817001210 |
Provider Name | Jennifer Suzanne Pearcy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932899820 PECOS PAC ID: 7911367263 Enrollment ID: I20230718002186 |
Provider Name | Cristina A Carbia Schneider |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1366948812 PECOS PAC ID: 5395107643 Enrollment ID: I20230817003181 |
Provider Name | Charles A Debrah |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255362265 PECOS PAC ID: 0547363442 Enrollment ID: I20230823001053 |
Provider Name | Courtney Marie Vance |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528529708 PECOS PAC ID: 6204360530 Enrollment ID: I20241108003835 |
Provider Name | Tamica Rhodes |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1235855685 PECOS PAC ID: 0143690545 Enrollment ID: I20250102000124 |
Provider Name | Marcella Facey |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760001960 PECOS PAC ID: 3577091818 Enrollment ID: I20250114001957 |
Provider Name | Connie Burke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932941770 PECOS PAC ID: 0446775290 Enrollment ID: I20250415001431 |
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