Organization
RECOVERY ROOM- IMMEDIATE CARE
Active
Parent organization
NW FL LUNG ASSOCIATES, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
NW FL LUNG ASSOCIATES, PA
Authorized official
DR. MICHAEL J. GIVEN MD (DOCTOR)
(850) 863-3000
Entity
Organization
Contact information
Practice address
2010 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1352
(850) 863-3000
(850) 863-3000
Mailing address
2010 LEWIS TURNER BLVD, FORT WALTON BEACH, FL 32547-1352
(850) 863-3000
(850) 862-1621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252347700
—
FL
Enumeration date
04/25/2011
Last updated
05/13/2014
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