# OBSTETRICS & GYNECOLOGY PA

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

## Provider details

- **NPI number:** 1518975143
- **Authorized official:** KATHRYN A STEVENS MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (850) 863-1000

## Contact information

- **Practice address:** 1703 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1221
- **Practice address phone:** (850) 863-1000
- **Practice address fax:** (850) 863-0800
- **Mailing address:** 1703 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1221
- **Mailing address phone:** (850) 863-1000
- **Mailing address fax:** (850) 863-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME84285 | FL | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 03/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11131 | BCBS OF FL | FL |
| 05 | — | 264593900 | — | FL |