Organization
FAMILY LIFE MINISTRIES OF NW FLORIDA
Active
Other names
Sozo Life Connection
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DOUGLAS STROCK JR. (EXECUTIVE DIRECTOR)
(850) 862-5455
Entity
Organization
Contact information
Practice address
419 RACETRACK RD NW STE A, FORT WALTON BEACH, FL 32547-4612
(850) 862-5455
(850) 862-6855
Mailing address
PO BOX 250, FORT WALTON BEACH, FL 32549-0250
(850) 862-5455
(850) 862-6855
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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