Organization
GENESIS OBGYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER W SEATON MD (OWNER)
(850) 362-6435
Entity
Organization
Contact information
Practice address
1025 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-1446
(850) 362-6435
(850) 362-6777
Mailing address
1025 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-1446
(850) 362-6435
(850) 362-6777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME98995
FL
Other
Enumeration date
06/12/2009
Last updated
09/13/2011
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