| Nw Florida Lung Associates, Pa | |
|
322 Racetrack Rd Ne Fort Walton Beach FL 32547-2546 | |
| (850) 863-3000 | |
| (850) 374-3200 |
| Full Name | Nw Florida Lung Associates, Pa |
|---|---|
| Speciality | Specialist |
| Location | 322 Racetrack Rd Ne, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Michael J. Given (DOCTOR) |
| Authorized Official Contact | 8508633000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Florida Lung Associates, Pa 322 Racetrack Rd Ne Fort Walton Beach FL 32547-2546 Ph: (850) 863-3000 | Nw Florida Lung Associates, Pa 322 Racetrack Rd Ne Fort Walton Beach FL 32547-2546 Ph: (850) 863-3000 |
| NPI Number | 1093855587 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 03/30/2021 |
| Medicare PECOS PAC ID | 0547286858 |
|---|---|
| Medicare Enrollment ID | O20051017000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093855587 | NPI | - | NPPES |
| 252347700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 174400000X | Specialist | ME0058957 (Florida) | Primary |
| Provider Name | Michael Given |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104898980 PECOS PAC ID: 0042256141 Enrollment ID: I20050629000359 |
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