4MD2 Physician Services Of Fort Walton Beach LLC
Emergency Medicine in Fort Walton Beach, Florida
1568420735- Practice location
- 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
- Phone
- 850-863-7607
- Fax
- 205-437-5998
- Last updated
- July 20, 2007
4MD2 Physician Services Of Fort Walton Beach LLC is a healthcare organization based in Fort Walton Beach, FL. 4MD2 Physician Services Of Fort Walton Beach LLC practices in Fort Walton Beach, FL. The NPI Number for 4MD2 Physician Services Of Fort Walton Beach LLC is 1568420735. The current practice location address for 4MD2 Physician Services Of Fort Walton Beach LLC is 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 and can be reached out via phone at 850-863-7607 and via fax at 205-437-5998.
Provider Profile Details
- NPI Number
- 1568420735
- Provider Name
- 4MD2 Physician Services Of Fort Walton Beach LLC
- Provider Entity Type
- Organization
- Address
- 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
- Phone Number
- 850-863-7607
- Fax Number
- 205-437-5998
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Guy Duwane Hooper · President · 205-437-6098
- Provider Enumeration Date
- May 3, 2006
- Last Update Date
- July 20, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708 - State
- Florida
- Zip
- 32547-6708
- Phone Number
- 850-863-7607
- Fax Number
- 205-437-5998
Provider Business Mailing Address Details
- Address
- Po Box 88452
Chicago, IL 60680-1452 - City
- Chicago
- State
- IL
- Zip
- 60680-1452
- Phone Number
- 205-437-6098
- Fax Number
- 205-437-5998
License Information
- License State
- FL
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Fort Walton Beach, FL
View all Emergency Medicine providers in Fort Walton Beach →Frequently Asked Questions
What is the NPI number of 4MD2 Physician Services Of Fort Walton Beach LLC?
The NPI number of 4MD2 Physician Services Of Fort Walton Beach LLC is 1568420735. It was assigned on May 3, 2006 and is currently active in the NPPES registry.
What is the specialty of 4MD2 Physician Services Of Fort Walton Beach LLC?
4MD2 Physician Services Of Fort Walton Beach LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).
Where does 4MD2 Physician Services Of Fort Walton Beach LLC practice?
The practice location is 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708. The office can be reached at 850-863-7607 (phone) or 205-437-5998 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568420735 directly on the NPPES registry website.