Organization
THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORTH DAVIS (PRESIDENT)
(850) 438-1154
Entity
Organization
Contact information
Practice address
2600 HOSPITAL DR, BONIFAY, FL 32425-4264
(850) 547-8000
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
(850) 438-1154
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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