WAYNE P JUSTICE M D P A (NPI# 1528397791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528397791 |
| Entity Type | Organization |
| Organization Name | WAYNE P JUSTICE M D P A |
| Practice Address |
1003 College Blvd W Ste 2 Niceville FL 32578-1069 |
| Practice Telephone | 8506780443 |
| Practice Fax Number | 8506787999 |
| Mailing Telephone | 8506780443 |
| Mailing Fax Number | 8506787999 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | DR. WAYNE P JUSTICE (PRESIDENT) |
| Authorized Official Telephone | 8506780443 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1003 COLLEGE BLVD W STE 2 |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639408800 | Kit D. Kuss Md Pa | Clinic/Center | 1003 College Blvd W Ste 2, Niceville, FL 32578-1069 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1558829812 | Fnp & Associates, Pllc | Clinic/Center | 1049 Johns Sims Parkway E, Suite 2, Niceville, FL 32578-3257 | 2019-03-06 |
| 1326234626 | Twin Cities Family Practice Pa | Clinic/Center | 1003 College Blvd W Ste 3, Niceville, FL 32578-1069 | 2007-09-20 |
| 1194278424 | Select Physical Therapy | Clinic/Center | 554 Twin Cities Blvd Ste A, Niceville, FL 32578-1058 | 2016-08-03 |
| 1255733986 | Brenda K Moore Do Pa | Clinic/Center | 1003 College Blvd W, Suite #2, Niceville, FL 32578-1068 | 2014-09-25 |
| 1093066565 | Emerald Coast Health Institute, Inc. | Clinic/Center | 4566 E Highway 20, Niceville, FL 32578-8838 | 2012-09-25 |
| 1639408800 | Kit D. Kuss Md Pa | Clinic/Center | 1003 College Blvd W Ste 2, Niceville, FL 32578-1069 | 2009-12-16 |
| 1992942692 | Bluewater Chiropractic Wellness Center LLC | Clinic/Center | 4400 E Highway 20, Ste 207, Niceville, FL 32578-8779 | 2009-01-16 |
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| 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 |
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| 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.