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Organization

HOSPITALISTS AT FORT WALTON BEACH MEDICAL CENTER. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICKEY PICKLER (PRESIDENT)
(850) 523-2117
Entity
Organization

Contact information

Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 315-4249
(866) 958-1809
Mailing address
1000 MARWALT DRVIE, FORT WALTON BEACH, FL 32547-1000
(850) 315-4249
(866) 958-1809

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
01/07/2009
Last updated
01/07/2009
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