Organization
BRIDGEWAY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE R BARLOW (CHIEF EXECUTIVE OFFICER)
(850) 833-3945
Entity
Organization
Contact information
Practice address
137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5015
(850) 226-8857
(850) 226-8859
Mailing address
137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5015
(850) 226-8857
(850) 833-7528
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
06/12/2024
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