Organization
NOLES MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIRA NOLES M.D. (OWNER)
(313) 600-5589
Entity
Organization
Contact information
Practice address
1775 LEWIS TURNER BLVD STE 101, FORT WALTON BEACH, FL 32547-1277
(850) 924-2933
(850) 848-6346
Mailing address
351 CHANNELSIDE WALK WAY APT 4405, TAMPA, FL 33602-6765
(313) 600-5589
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I2018107000675
—
MD
Enumeration date
11/05/2020
Last updated
09/16/2025
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