# WHITE-WILSON ASSOCIATION, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White-Wilson Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831846336
- **Authorized official:** ALAN L GIESEMAN (CEO)
- **Authorized official phone:** (850) 863-8150

## Contact information

- **Practice address:** 999 MAR WALT DR, FORT WALTON BEACH, FL 32547-6758
- **Practice address phone:** (850) 863-8150
- **Practice address fax:** (850) 863-4152
- **Mailing address:** 1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
- **Mailing address phone:** (850) 863-8150
- **Mailing address fax:** (850) 863-4152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2022
- **Last updated:** 03/04/2022