Organization · Type 2 NPI

White-Wilson Medical Center, P.a.

Rural Health Clinic/Center · Defuniak Springs, FL

NPI number 1063267128 Active

Practice location

1045 US Highway 331 S
Defuniak Springs, FL 32435-3379

Call (850) 892-3366 Map

Fax (833) 451-2226

Mailing address

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707

Other practice locations

127 E Redstone Ave, Crestview, FL 32539-5358 · (850) 398-8725
130 E Redstone Ave, Crestview, FL 32539-5348 · (850) 398-8725
1332 N Ferdon Blvd, Crestview, FL 32536-1749 · (850) 634-6193

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

4 other providers at this address

Other rural health clinic/center providers in Defuniak Springs

See all in Defuniak Springs →

NPI record

NPI: 1063267128
Entity type: Organization (Type 2)
Issued: Apr 22, 2024
Last updated: Aug 1, 2024
Status: Active
Subpart: Yes of White-Wilson Medical Center, P.a.

Other names

<unavail>
White-Wilson Medical Center DFK · other name
White-Wilson Medical Center DFK · other name

Authorized official

Kenneth Persaud
CEO
(850) 863-8150

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063267128

White-Wilson Medical Center, P.a.'s National Provider Identifier is 1063267128, issued on Apr 22, 2024. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Defuniak Springs, FL. The record was last updated on Aug 1, 2024.