Organization
NORTH OKALOOSA CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JACKSON (DIRECTOR)
(615) 465-3334
Entity
Organization
Contact information
Practice address
550 REDSTONE AVE W, STE. 370, CRESTVIEW, FL 32536-6428
(850) 682-2209
(850) 682-2528
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7626
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
03/18/2022
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