Organization
THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORTH DAVIS (PRESIDENT)
(850) 438-1154
Entity
Organization
Contact information
Practice address
4413 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL 32435-6307
(850) 920-2065
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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