MAGNOLIA MEDICAL CLINIC P.A. NPI 1639281652

NPI Information

MAGNOLIA MEDICAL CLINIC P.A. is a family medicine in Fort Walton Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAGNOLIA MEDICAL CLINIC P.A. NPI is 1639281652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

319 GREEN ACRES RD STE 101
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 243-7681
Fax: (850) 243-0471

The provider's authorized official is John David Sites .
The authorized official title is President and has the following contact phone number (850) 243-7681.

The CLIA number assigned to this NPI record is 10D0271510 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/28/2018.

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:

Other Identifiers

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