Organization
FORT WALTON BEACH MEDICAL CENTER, INC.
Active
Other names
HCA Florida Fort Walton-Destin Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE HENRY (CFO)
(850) 862-1111
Entity
Organization
Contact information
Practice address
1000 MAR WALT DR, FT WALTON BEACH, FL 32547-6708
(850) 862-1111
(850) 862-9149
Mailing address
1000 MAR WALT DR, FT WALTON BEACH, FL 32547-6708
(850) 862-1111
(850) 862-9149
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000593788X
—
GA
01
—
010040
BLUE CROSS
AL
05
—
01884660
—
NY
05
—
100027853
—
TN
05
—
10354B
—
SC
05
—
11132500
—
FL
05
—
1503704
—
PA
05
—
1744034
—
LA
05
—
1744034
—
ME
01
—
220304
AVMED
FL
01
—
35871
AMERIGROUP
FL
01
—
444
BLUE CROSS/HOPT
FL
05
—
FOR0223N
—
AL
05
—
XHSP32483
—
CA
Enumeration date
05/08/2006
Last updated
09/24/2025
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