Organization
NORTHWEST FLORIDA PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK RODKEY (VICE PRESIDENT)
(850) 523-3816
Entity
Organization
Contact information
Practice address
4400 E HIGHWAY 20 STE 203, NICEVILLE, FL 32578-7700
(850) 897-3678
(850) 897-3708
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
(866) 831-4898
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
FL
Other
Enumeration date
02/17/2009
Last updated
11/10/2017
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