Individual
JOHN LOFTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 MAR WALT DRIVE, UNIT C, FORT WALTON BEACH, FL 32547-6706
(850) 226-6801
(877) 413-5104
Mailing address
6954 ELLIOTS GIN LN, NAVARRE, FL 32566-8587
(251) 327-7026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9112927
FL
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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