DOCTORS MEDICAL CENTER OF WALTON COUNTY PA (NPI# 1437271509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437271509 |
| Entity Type | Organization |
| Organization Name | DOCTORS MEDICAL CENTER OF WALTON COUNTY PA |
| Practice Address |
21 W Main Ave Defuniak Springs FL 32435-2529 |
| Mailing Address |
21 W. Main Ave Defuniak Springs FL 32435 |
| Practice Telephone | 8508922888 |
| Practice Fax Number | 8508922405 |
| Mailing Telephone | 8508922888 |
| Mailing Fax Number | 8508922405 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | RACHEL COLE (OFFICE MANAGER) |
| Authorized Official Telephone | 8508922888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OS007047 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 6600147200 | 05 |
| Street Address |
21 W MAIN AVE |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32435-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932241353 | Caroline P. Lawrence | Physician Assistant | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2007-02-13 |
| 1902459662 | Mindy Lee Gray | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2019-07-22 |
| 1982135893 | Robert Lowry | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2017-03-22 |
| 1083155865 | Pamela Ann Ferrand | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2017-03-14 |
| 1134315443 | James W Howell | Family Medicine | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2007-09-20 |
| 1164625208 | Donna Shepherd Ennis | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098267 | Luz Zondlo | Counselor | 3686 Us Highway 331s, Chautauqua Offices of Psychotherapy & Evaluation, Defuniak Springs, FL 32435 | 2017-01-03 |
| 1427445477 | Jacob Urda | Family Medicine | 1045 Hwy 331 South Suite D & E, Defuniak Springs, FL 32435 | 2015-04-16 |
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| 1003999756 | Charles Gordon Stevenson IIi | Optometrist | 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | 2006-10-23 |
| 1609971910 | Solomon Reodica | Surgery | 4415 Highway 331 Soutn, Defuniak Springs, FL 32435 | 2006-09-13 |
| 1396857223 | Pamela Kay Stuckey | Social Worker | 3686 Us Hwy 331 S, Cope Center Inc, Defuniak Springs, FL 32435 | 2006-08-31 |
| 1144332065 | Michele Anne Gilmore-rule | Social Worker | 3686 Us Hwy 331 South, Cope Center Inc, De Funiak Springs, FL 32435 | 2006-08-31 |
| 1205857513 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1030 Us Highway 331 South, Suite G, Defuniak Springs, FL 32435 | 2006-07-21 |
| 1912932153 | George Lester Mueller | Surgery | 2800 S Seacrest, Suite 200, Boynton Beach, FL 32435 | 2006-07-12 |
| 1679525463 | Timothy W Walker | Emergency Medicine | 4413 Us Hwy 331 South, Defuniak Springs, FL 32435 | 2006-05-17 |
| Find all providers in zip 32435 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679743454 | Advanced Practice Clinic LLC | Clinic/Center | 1184 Circle Dr Ste B, Defuniak Springs, FL 32435-2599 | 2008-03-07 |
| 1841339694 | Garcia Medical Clinic | Clinic/Center | 411 E Nelson Ave, Defuniak Springs, FL 32433-7444 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356455 | Holistic Care LLC | Clinic/Center | 1108 Kane Concourse Ste 205, Bay Harbor Islands, FL 33154-2068 | 2020-11-05 |
| 1417558651 | Eclipse Wellness Center | Clinic/Center | 3015 S Congress Ave Ste 7, Palm Springs, FL 33461-2111 | 2020-11-04 |
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
| 1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
| 1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32435 |
Please comment or provide details below to improve the information on DOCTORS MEDICAL CENTER OF WALTON COUNTY PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.