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General NPI Number Information
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NPI Number | 1053331058
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Entity Type | Organization
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Legal Business Name | LINDA K FOX MD PA
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 619 N COVE BLVD STE D
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City | PANAMA CITY
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State | FL
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Zip | 32401-3642
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Country | US
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Telephone | 850-215-4369
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Fax | 850-769-2366
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Provider Business Mailing Address
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Address Line | 619 COVE BLVE STE D
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City | PANAMA CITY
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State | FL
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Zip | 32401
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Country | US
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Telephone | 850-215-4369
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Fax | 850-769-2366
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LINDA K FOX
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Credential | MD
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Telephone | 850-215-4369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME80127
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License Number State | FL
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