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Organization
NORTHWEST FLORIDA HEALTHCARE, INC.
Active
Organization
NORTHWEST FLORIDA HEALTHCARE, INC.
Active
Parent organization
NORTHWEST FLORIDA HEALTHCARE, INC.
Other names
CHIPLEY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST FLORIDA HEALTHCARE, INC.
Authorized official
MR. MICHAEL A KOZAR (CHIEF EXECUTIVE OFFICER)
(850) 415-8103
Entity
Organization
Contact information
Practice address
1376 BRICKYARD RD, SUITE 4, CHIPLEY, FL 32428-6391
(850) 638-0552
(850) 638-0504
Mailing address
1376 BRICKYARD RD, SUITE 4, CHIPLEY, FL 32428-6391
(850) 638-0552
(850) 638-0504
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/11/2016
Last updated
08/11/2025
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