| South Walton Academy, Inc. | |
|
305 Mack Bayou Rd Santa Rosa Beach FL 32459-7199 | |
| (850) 213-4595 | |
| (850) 213-4596 |
| Full Name | South Walton Academy, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 305 Mack Bayou Rd, Santa Rosa Beach, Florida |
| Authorized Official Name and Position | Calley G Middlebrooks (DEVELOPMENTAL THERAPIST) |
| Authorized Official Contact | 8502134595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Walton Academy, Inc. 305 Mack Bayou Rd Santa Rosa Beach FL 32459-7199 Ph: (850) 213-4595 | South Walton Academy, Inc. 305 Mack Bayou Rd Santa Rosa Beach FL 32459-7199 Ph: (850) 213-4595 |
| NPI Number | 1568964278 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568964278 | NPI | - | NPPES |
| 1255535597 | Medicaid | FL |
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