SPECIALTY HOSPITALISTS AT FT WALTON BEACH LLC NPI 1720358393

NPI Information

SPECIALTY HOSPITALISTS AT FT WALTON BEACH LLC is a neurology psychiatry neurology in Fort Walton Beach, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SPECIALTY HOSPITALISTS AT FT WALTON BEACH LLC NPI is 1720358393. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-708
Phone: (850) 315-4295
Fax: (850) 315-4285

The provider's authorized official is Vince Wyatt .
The authorized official title is Cfo and has the following contact phone number (850) 863-7501.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 1/12/2012.

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:

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