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NPI Code Detail

MEDICARE: RECOVERY ROOM- IMMEDIATE CARE

MEDICARE: RECOVERY ROOM- IMMEDIATE CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist
2208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083905178
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECOVERY ROOM- IMMEDIATE CARE
Provider Business Mailing Address
First Line : 2010 LEWIS TURNER BLVD
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-1352
Country : US
Telephone Number : 850-863-3000
Fax Number : 850-862-1621
Provider Business Practice Location Address
First Line : 2010 LEWIS TURNER BLVD
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32547-1352
Country : US
Telephone Number : 850-863-3000
Fax Number : 850-863-3000
Authorized Official
Title or Position : DOCTOR
Name : DR. MICHAEL J. GIVEN
Credential : MD
Telephone Number : 850-863-3000
Provider Enumeration Date : 04/25/2011
Last Update Date : 05/13/2014

Similar Medicare Providers

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Practice Location Address:
2018 LEWIS TURNER BLVD STE C
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Practice Phone: 850-924-8104
Practice Fax: 850-702-5972
1174508915 — KATHY A. WILSON ARNP
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1215958848 — FRANCIS E KIDWELL III PA-C
Practice Location Address:
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Practice Fax: 850-862-1621
1972986669 — PETER KOZLOWSKI MD PA
Practice Location Address:
2010 LEWIS TURNER BLVD
FORT WALTON BEACH, FL
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Practice Fax:
1518338565 — ADVANCED VASCULAR CARE INC
Practice Location Address:
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1609408939 — JOSEPH DUDA APRN
Practice Location Address:
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Practice Fax:

Directions to “RECOVERY ROOM- IMMEDIATE CARE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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