Organization
BRIDGEWAY HEALTH CLINICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE R BARLOW (CHIEF EXECUTIVE OFFICER)
(850) 833-3975
Entity
Organization
Contact information
Practice address
137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5063
(850) 833-7500
(850) 833-7528
Mailing address
137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5063
(850) 833-7500
(850) 833-7528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
01/24/2020
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