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Organization
OKALOOSA ACADEMY INC
Active
Organization
OKALOOSA ACADEMY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK WITTWER (EXECUTIVE DIRECTOR)
(850) 314-6571
Entity
Organization
Contact information
Practice address
81 ROBERTS BLVD, FORT WALTON BEACH, FL 32547-5118
(850) 864-3133
(850) 864-4305
Mailing address
1982 LEWIS TURNER BLVD STE D, FORT WALTON BEACH, FL 32547-1255
(850) 314-6571
(850) 314-6581
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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