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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
DR. NORTH DAVIS MD (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(850) 689-8100
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
(850) 438-1154
(850) 433-6034
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
06/29/2012
Last updated
12/04/2022
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