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Organization
NORTHWEST FLORIDA HEALTHCARE, INC.
Active
Organization
NORTHWEST FLORIDA HEALTHCARE, INC.
Active
Other names
Vernon Clinic - Northwest Florida Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LISENBY (CHIEF FINANCIAL OFFICER)
(850) 415-8107
Entity
Organization
Contact information
Practice address
3250 MAIN ST, VERNON, FL 32462
(850) 535-2096
Mailing address
3250 MAIN ST, VERNON, FL 32462-2223
(850) 535-2096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4005
FL
Other
Enumeration date
12/08/2010
Last updated
11/25/2024
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