Organization · Type 2 NPI
Child Neurology Center of Northwest Florida PA
General Practice Physician · Gulf Breeze, FL
NPI number
1053392233
Active
Practice location
400 Gulf Breeze Pkwy, Suite 300
Gulf Breeze, FL 32561-4495
Fax (850) 932-1401
Mailing address
PO Box 280
Gulf Breeze, FL 32562-0280
Other practice locations
- 12815 US Highway 98 W Ste 116, Miramar Beach, FL 32550-3245 · (850) 932-5055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
5 other providers at this address
- Child Neurology Center of NW FL PANeurology with Special Qualifications in Child Neurology Physician Gulf Breeze, FL NPI 1841569357
- Emerald Coast Pediatric Sleep Consultants, LLCPediatric Nurse Practitioner Gulf Breeze, FL NPI 1396135117
- Genei S. Bougher, ARNPPediatric Nurse Practitioner Gulf Breeze, FL NPI 1063414092
- Mailande Dedeaux, PAMedical Physician Assistant Gulf Breeze, FL NPI 1255708681
- Sonia A. Smith, ARNPPediatric Nurse Practitioner Gulf Breeze, FL NPI 1285794826
About NPI 1053392233
Child Neurology Center of Northwest Florida PA's National Provider Identifier is 1053392233, issued on Nov 7, 2005. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gulf Breeze, FL. The record was last updated on Jan 20, 2025.