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Organization

WHITE SANDS INTEGRATIVE MEDICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIK RYAN PERSIANI (PRESIDENT)
(850) 226-6728
Entity
Organization

Contact information

Practice address
24 BEAL PKWY SW, FORT WALTON BEACH, FL 32548-5388
(850) 226-6728
(850) 226-6729
Mailing address
24 BEAL PKWY SW, FORT WALTON BEACH, FL 32548-5388
(850) 226-6728
(850) 226-6729

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
03/17/2020
Last updated
03/17/2020
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