Organization
THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORTH DAVIS MD (PRESIDENT)
(800) 288-8325
Entity
Organization
Contact information
Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(850) 689-8100
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
(850) 438-1154
(850) 433-6034
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
12/04/2022
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