| Doctors Medical Center Of Walton County Pa | |
|
21 W Main Ave Defuniak Springs FL 32435-2529 | |
| (850) 892-2888 | |
| (850) 892-2405 |
| Full Name | Doctors Medical Center Of Walton County Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 W Main Ave, Defuniak Springs, Florida |
| Authorized Official Name and Position | James W Howell (OWNER) |
| Authorized Official Contact | 8508922888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Medical Center Of Walton County Pa 21 W. Main Ave Defuniak Springs FL 32435 Ph: (850) 892-2888 | Doctors Medical Center Of Walton County Pa 21 W Main Ave Defuniak Springs FL 32435-2529 Ph: (850) 892-2888 |
| NPI Number | 1437271509 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 06/15/2022 |
| Medicare PECOS PAC ID | 7810806288 |
|---|---|
| Medicare Enrollment ID | O20030227000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437271509 | NPI | - | NPPES |
| 6600147200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OS007047 (Florida) | Primary |
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