# GENESIS OBGYN PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407083884
- **Authorized official:** JENNIFER W SEATON MD (OWNER)
- **Authorized official phone:** (850) 362-6435

## Contact information

- **Practice address:** 1025 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-1446
- **Practice address phone:** (850) 362-6435
- **Practice address fax:** (850) 362-6777
- **Mailing address:** 1025 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-1446
- **Mailing address phone:** (850) 362-6435
- **Mailing address fax:** (850) 362-6777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME98995 | FL | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 09/13/2011