Life Management Center Of Northwest Florida Inc | |
801 S Weeks St Bonifay FL 32425-3046 | |
(850) 522-4480 | |
(850) 914-6281 |
Full Name | Life Management Center Of Northwest Florida Inc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 801 S Weeks St, Bonifay, Florida |
Authorized Official Name and Position | Edwin Ailes (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8505224480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Management Center Of Northwest Florida Inc 525 E 15th St Panama City FL 32405-5412 Ph: (850) 522-4480 | Life Management Center Of Northwest Florida Inc 801 S Weeks St Bonifay FL 32425-3046 Ph: (850) 522-4480 |
NPI Number | 1861422099 |
---|---|
Provider Enumeration Date | 07/04/2006 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861422099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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