Brandy Marie Lackey
MAGNOLIA MEDICAL CLINIC P.A.


Address: 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Phone: 8502437681

Brandy Marie Lackey (NPI# 1558876656, PAC ID# 9537429840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1558876656
PAC ID by PECOS 9537429840
Professional Enrollment ID I20180206002138
Full Name Brandy Marie Lackey
Organization Legal Name MAGNOLIA MEDICAL CLINIC P.A.
Address 319 Green Acres Rd
Suite 101
Fort Walton Beach
FL 32547-1170
Phone Number 8502437681
Gender F
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8325185473
Number of Group Practice Members 8
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 8502437681 MAGNOLIA MEDICAL CLINIC P.A.

Organization Information

Organization Legal Name MAGNOLIA MEDICAL CLINIC P.A.
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Billy Ansel Buckelew Family Practice Magnolia Medical Clinic P.a. 131 Magnolia Ave Se, Fort Walton, FL 32548-7266
John D Sites Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Teresa Marie Skojac Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Peter Kerr Senechal Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Chris George Pappas Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Christopher P Paulson Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Susan T Ott Nurse Practitioner Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Grant Eugene Zachary Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170

Office Location

Street Address 319 GREEN ACRES RD
SUITE 101
City FORT WALTON BEACH
State FL
Zip 32547-1170

Physicians in the same location

Name Specialty Organization Address
John D Sites Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Teresa Marie Skojac Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Peter Kerr Senechal Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Chris George Pappas Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Christopher P Paulson Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Susan T Ott Nurse Practitioner Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170
Grant Eugene Zachary Family Medicine Magnolia Medical Clinic P.a. 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170

Physicians in the same zip code

Name Specialty Organization Address
Morris E Gales Iii General Surgery Florida Post Acute Care Clinicians LLC 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163
Jamison E Gaddy Physician Assistant Australian Lungfish Surgical Specialists LLC 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Rachel Houck Nurse Practitioner Australian Lungfish Surgical Specialists LLC 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Robert Lowry Nurse Practitioner Australian Lungfish Surgical Specialists LLC 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221
Mauri Lunderman General Surgery 1775 Lewis Turner Blvd, Suite 102, Fort Walton Beach, FL 32547-1277
Francia Squatrito Podiatry 1775 Lewis Turner Blvd, Suite 101, Fort Walton Beach, FL 32547-1277
George A Michas Psychiatry Michas, Valentine and Gill, Psychiatric Associates, P.a. 814 Shadow Ln, Suite B, Fort Walton Beach, FL 32547-1282
Elizabeth A Michas Psychologist, Clinical Michas, Valentine and Gill, Psychiatric Associates, P.a. 814 Shadow Ln, Suite B, Fort Walton Beach, FL 32547-1282
Melba Carole Arrick Psychologist, Clinical Michas, Valentine and Gill, Psychiatric Associates, P.a. 814 Shadow Ln, Suite B, Fort Walton Beach, FL 32547-1282
Michael J Given Pulmonary Disease 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1352
Find all physicians in zip 32547

Competitor

Search similar physicians

City FORT WALTON BEACH
Zip Code 32547
Specialty NURSE PRACTITIONER
City + Specialty FORT WALTON BEACH + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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