Organization
NORTH FLORIDA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM D SHINSKY (ADMINISTRATOR)
(850) 867-2006
Entity
Organization
Contact information
Practice address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 747-2010
(850) 747-2016
Mailing address
1702 OHIO AVE, LYNN HAVEN, FL 32444-4290
(850) 747-2010
(850) 747-2016
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
ME97726
FL
208600000X
Surgery Physician
ME95473
FL
208D00000X
General Practice Physician
Primary
ME103213
FL
363L00000X
Nurse Practitioner
ARNP2800032
FL
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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