Organization
FAMILY CARE ASSOCIATES OF NW FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG KEITH SLOAN M.D. (PRESIDENT)
(850) 638-9399
Entity
Organization
Contact information
Practice address
925 CARLISLE RD, CHIPLEY, FL 32428-4360
(850) 638-9399
(850) 638-3720
Mailing address
925 CARLISLE RD, CHIPLEY, FL 32428-4360
(850) 638-9399
(850) 638-3720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258812900
—
FL
01
—
38498
BCBS
FL
Enumeration date
01/22/2007
Last updated
06/27/2008
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