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Organization
THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Active
Organization
THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORTH DAVIS (PRESIDENT)
(850) 438-1154
Entity
Organization
Contact information
Practice address
4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
(850) 920-2065
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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