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OBSTETRICS & GYNECOLOGY PA NPI 1518975143


NPI Information

NPI: 1518975143
Provider Name: OBSTETRICS & GYNECOLOGY PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1703 LEWIS TURNER BLVD
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-1000
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OBSTETRICS & GYNECOLOGY PA is an obstetrics gynecology in Fort Walton Beach, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBSTETRICS & GYNECOLOGY PA NPI is 1518975143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1703 LEWIS TURNER BLVD
FORT WALTON BEACH, FL
ZIP 32547-221
Phone: (850) 863-1000
Fax: (850) 863-0800

The provider's authorized official is Kathryn A Stevens .
The authorized official title is Owner/physician and has the following contact phone number (850) 863-1000.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 3/10/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME84285FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1264593900MEDICAIDFLORIDA
2H62620MEDICARE UPINFLORIDA
311131OTHERFLORIDABCBS OF FL
411131ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE INDIVIDUAL
5K3609MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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