Organization
NORTHWEST FLORIDA HEALTHCARE, INC.
Active
Parent organization
NORTHWEST FLORIDA HEALTHCARE, INC.
Other names
Regional Pediatrics and Newborn Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST FLORIDA HEALTHCARE, INC.
Authorized official
STEVEN LISENBY (CHIEF FINANCIAL OFFICER)
(850) 415-8107
Entity
Organization
Contact information
Practice address
3031 6TH ST, MARIANNA, FL 32446-1930
(850) 482-4655
(850) 482-6694
Mailing address
1360 BRICKYARD RD, CHIPLEY, FL 32428-6303
(850) 638-1610
(850) 638-0622
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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