Organization · Type 2 NPI
Northwest Florida Diabetes & Nutrition Center, LLC
Health Service Clinic/Center · Crestview, FL
NPI number
1043596091
Active
Practice location
120 W Woodruff Ave
Crestview, FL 32536-3527
Mailing address
PO Box 1854
Crestview, FL 32536-7854
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1043596091
Northwest Florida Diabetes & Nutrition Center, LLC's National Provider Identifier is 1043596091, issued on Oct 21, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Crestview, FL. The record was last updated on Jan 11, 2014.