Organization
NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
Active
Organization
NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
Active
Parent organization
NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST FLORIDA MULTISPECIALTY PHYSICIANS LLC
Authorized official
RICHARD DILALLA (VICE PRESIDENT)
(603) 531-2657
Entity
Organization
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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