Organization
NORTHWEST FLORIDA HEALTHCARE, INC
Active
Other names
Northwest Florida Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MOREAU (CFO & COO)
(850) 415-8197
Entity
Organization
Contact information
Practice address
1360 BRICKYARD RD, CHIPLEY, FL 32428-6303
(850) 638-1610
(850) 638-5764
Mailing address
1360 BRICKYARD RD, CHIPLEY, FL 32428-6303
(850) 638-1610
(850) 638-5764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
01/02/2007
Last updated
09/11/2025
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