| Ascension Medical Group Sacred Heart | |
|
1025 Beal Pkwy Nw Ste D Fort Walton Beach FL 32547-1446 | |
| (850) 278-3490 | |
| Not Available |
| Full Name | Ascension Medical Group Sacred Heart |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1025 Beal Pkwy Nw Ste D, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Jean Vallier (DIRECTOR) |
| Authorized Official Contact | 8502783490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Medical Group Sacred Heart 4205 Belfort Rd Ste 4015 Jacksonville FL 32216-3623 Ph: () - | Ascension Medical Group Sacred Heart 1025 Beal Pkwy Nw Ste D Fort Walton Beach FL 32547-1446 Ph: (850) 278-3490 |
| NPI Number | 1669148615 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669148615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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