4Md2 In Patient Physician Services Of Fort Walton Beach Llc in Fort Walton Beach - Hospitalist
4Md2 In Patient Physician Services Of Fort Walton Beach Llc - NPI 1821049867
4Md2 In Patient Physician Services Of Fort Walton Beach Llc is a Hospitalist in Fort Walton Beach, Florida. 4Md2 In Patient Physician Services Of Fort Walton Beach Llc practices all healthcare services and medical treatments related to Hospitalist. The NPI Number for 4Md2 In Patient Physician Services Of Fort Walton Beach Llc is 1821049867. The last update date is 2007-07-20.
4Md2 In Patient Physician Services Of Fort Walton Beach Llc's current location address is 1000 Mar Walt Dr, Fort Walton Beach, Florida. You can contact this provider via phone number 8508637607 and fax number 2054375998. The mailing address for 4Md2 In Patient Physician Services Of Fort Walton Beach Llc is 1000 Mar Walt Dr, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 4Md2 In Patient Physician Services Of Fort Walton Beach Llc |
|---|---|
| Address | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
| Phone Number | 8508637607 |
| Fax Number | 2054375998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hooper Duwane Guy |
| Telephone Number | 2054376098 |
NPI Number Detail
| NPI Number | 1821049867 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
| Address | 1000 Mar Walt Dr |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 3254767080 |
| Phone Number | 8508637607 |
| Fax Number | 2054375998 |
Provider's Primary Taxonomy Detail
| Speciality | Hospitalist |
|---|---|
| Taxonomy | 208M00000X |
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Definition: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers t |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2625352 | FL | UNITEDHEALTHCARE GROUP NO | |
| 97919 | FL | GROUP BCBS NUMBER | |
| DE2953 | FL | GROUP RRMC NUMBER | |
| 7532779 | FL | AETNA GROUP NO | |
| G017 | AL | BCBS GROUP PROVIDER NO |
Post Comment/ Review Below
What is the 4Md2 In Patient Physician Services Of Fort Walton Beach Llc's 1821049867?
The 4Md2 In Patient Physician Services Of Fort Walton Beach Llc's NPI (National Provider Identifier) Number is 1821049867. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where 4Md2 In Patient Physician Services Of Fort Walton Beach Llc's facilities are situated?
The facilities of 4Md2 In Patient Physician Services Of Fort Walton Beach Llc are physically located at the following address: 1000 Mar Walt Dr, Fort Walton Beach, FL, 3254767080.
What is the 4Md2 In Patient Physician Services Of Fort Walton Beach Llc's specialty and taxonomy code?
The 4Md2 In Patient Physician Services Of Fort Walton Beach Llc's specialty is Hospitalist, and the corresponding taxonomy code is 208M00000X.
On what date did the 4Md2 In Patient Physician Services Of Fort Walton Beach Llc receive the assignment of its 1821049867 from the Centers for Medicare & Medicaid Services?
The 4Md2 In Patient Physician Services Of Fort Walton Beach Llc was issued its 1821049867 by the Centers for Medicare & Medicaid Services on 2006-05-15.
As of what date was the information pertaining to 4Md2 In Patient Physician Services Of Fort Walton Beach Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to 4Md2 In Patient Physician Services Of Fort Walton Beach Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-20.