Organization · Type 2 NPI

Joseph Shalit, M.d., P.a.

Medical Specialty Clinic/Center · Crestview, FL

NPI number 1356650683 Active

Practice location

484 N Wilson St
Crestview, FL 32536-3442

Fax (850) 682-2384

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XME67718 (FL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

About NPI 1356650683

Joseph Shalit, M.d., P.a.'s National Provider Identifier is 1356650683, issued on Oct 5, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Crestview, FL. The record was last updated on Oct 5, 2010.