Organization
WHITE-WILSON MEDICAL CENTER, P.A.
Active
Parent organization
WHITE-WILSON MEDICAL CENTER, P.A.
Other names
White-Wilson Medical Center DFK
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE-WILSON MEDICAL CENTER, P.A.
Authorized official
KENNETH PERSAUD (CEO)
(850) 863-8150
Entity
Organization
Contact information
Practice address
1045 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-3379
(850) 892-3366
(833) 451-2226
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8299
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
08/01/2024
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