Organization
SPECIALTY HOSPITALISTS AT FT WALTON BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCE WYATT (CFO)
(850) 863-7501
Entity
Organization
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 315-4295
(850) 315-4285
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 315-4295
(850) 315-4285
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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