STONE SURGERY CLINIC NPI 1073718664

NPI Details

STONE SURGERY CLINIC is a nurse practitioner in Defuniak Springs, FL. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. STONE SURGERY CLINIC NPI is 1073718664. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fawaz Medical & Surgical Clinic.

The provider's business location address is:

4417 US HWY 331 S
DEFUNIAK SPRINGS, FL
ZIP 32435-703
Phone: (850) 951-4638
Fax: (850) 951-4554

The provider's authorized official is Donna Ward .
The authorized official title is Office Manager and has the following contact phone number (850) 951-4638.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: