| Okaloosa Hospital, Inc | |
| 
					2190 Highway 85 N Niceville FL 32578-1045  | |
| (850) 729-9407 | |
| (850) 729-9418 | 
| Full Name | Okaloosa Hospital, Inc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 2190 Highway 85 N, Niceville, Florida | 
| Authorized Official Name and Position | Mark Day (CFO) | 
| Authorized Official Contact | 8507299302 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Okaloosa Hospital, Inc 2190 Highway 85 N Niceville FL 32578-1045 Ph: (850) 729-9407  | Okaloosa Hospital, Inc 2190 Highway 85 N Niceville FL 32578-1045 Ph: (850) 729-9407  | 
| NPI Number | 1336120187 | 
|---|---|
| Provider Enumeration Date | 11/09/2005 | 
| Last Update Date | 03/15/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336120187 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
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