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Organization

NORTHWEST FLORIDA DIABETES & NUTRITION CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA ANN FLETCHER PA-C (MGRM)
(850) 482-1830
Entity
Organization

Contact information

Practice address
120 W WOODRUFF AVE, CRESTVIEW, FL 32536-3527
(850) 482-1830
Mailing address
PO BOX 1854, CRESTVIEW, FL 32536-7854
(850) 482-1830

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
10/21/2011
Last updated
01/11/2014
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