Abc Pediatrics Of Okaloosa
Pediatric Adolescent Medicine
Abc Pediatrics Of Okaloosa is a Crestview, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
182 E. Redstone Ave, Suite B, Crestview, Florida - 32539. They can be contacted on phone at
850-689-0900 and fax number 850-689-0912.
NPI number (Unique professional ID) for Abc Pediatrics Of Okaloosa is
1326418336 which was assigned by NPPES on 02 Oct, 2015 and it was last updated on 02 Oct, 2015.
Abc Pediatrics Of Okaloosa license number is
ME70831 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Abc Pediatrics Of Okaloosa specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Abc Pediatrics Of Okaloosa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Abc Pediatrics Of Okaloosa |
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Business Address:
Abc Pediatrics Of Okaloosa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 182 E. Redstone Ave, Suite B
Crestview, FL, 32539
United States |
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| Phone Number : | 850-689-0900 |
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| Fax Number : | 850-689-0912 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1326418336 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 02 Oct, 2015 |
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| Last Updated On : | 02 Oct, 2015 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Denise Mitchell |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 850-689-0900 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Abc Pediatrics Of Okaloosa are as mentioned. Primary taxonomy code for Abc Pediatrics Of Okaloosa is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME70831 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Abc Pediatrics Of Okaloosa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 250009400 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2260 S Ferdon Blvd, Box 92
Crestview, FL, 32536-8457
United States |
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| Phone Number : | 850-689-0900 |
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| Fax Number : | 850-689-0912 |
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Business Location:
Patients can refer following map for directions to
Abc Pediatrics Of Okaloosa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.