# BRIDGEWAY CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174169080
- **Authorized official:** BONNIE R BARLOW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (850) 833-3945

## Contact information

- **Practice address:** 137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5015
- **Practice address phone:** (850) 226-8857
- **Practice address fax:** (850) 226-8859
- **Mailing address:** 137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5015
- **Mailing address phone:** (850) 226-8857
- **Mailing address fax:** (850) 833-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2019
- **Last updated:** 06/12/2024