Organization
WHITE-WILSON MEDICAL CENTER PA
Active
Other names
White-Wilson Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A LEEPER (MEDICAL STAFF COORDINATOR)
(850) 863-8150
Entity
Organization
Contact information
Practice address
1005 MAR WALT DR, ADMINISTRATION, FORT WALTON BEACH, FL 32547-6707
(850) 863-8131
(850) 863-4152
Mailing address
1005 MAR WALT DR, ADMINISTRATION, FORT WALTON BEACH, FL 32547-6707
(850) 863-8131
(850) 863-4152
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059722800
—
FL
05
—
130182500
—
FL
Enumeration date
12/14/2005
Last updated
05/15/2026
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