| Defuniak All-care Walkin Clinic | |
|
1424 Us Highway 331 S Defuniak Springs FL 32435-3401 | |
| (509) 201-7008 | |
| (850) 520-5357 |
| Full Name | Defuniak All-care Walkin Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1424 Us Highway 331 S, Defuniak Springs, Florida |
| Authorized Official Name and Position | Michael Jeter (OWNER) |
| Authorized Official Contact | 8505205357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Defuniak All-care Walkin Clinic 1424 Us Highway 331 S Defuniak Springs FL 32435-3401 Ph: (850) 920-1700 | Defuniak All-care Walkin Clinic 1424 Us Highway 331 S Defuniak Springs FL 32435-3401 Ph: (509) 201-7008 |
| NPI Number | 1508451287 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 3779990254 |
|---|---|
| Medicare Enrollment ID | O20210517001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508451287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Huy B Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396797155 PECOS PAC ID: 5991697518 Enrollment ID: I20040329000316 |
| Provider Name | John B Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528213394 PECOS PAC ID: 8628132339 Enrollment ID: I20090124000152 |
| Provider Name | Loyd T Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386076222 PECOS PAC ID: 1759525280 Enrollment ID: I20130923000582 |
| Provider Name | Michael W Jeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275002503 PECOS PAC ID: 2365771664 Enrollment ID: I20190912000075 |
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